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Fox Chandelier Cleaning LLC Intake Form
Fox Chandelier Cleaning LLC Intake Form
Please fill out and submit Fox Chandelier Cleaning LLC's intake form. You will be asked to upload a full shot, room shot, and close-up photo of each different fixture. If you are filling out this form from a computer, you will need to have photos saved onto your computer and ready to upload. If you are filling out the form from your smartphone or tablet, you can take and upload the photos as you go through the form.
Fox Chandelier Cleaning LLC Intake Form
  • 1
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  • 2
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  • 3
    If applicable
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  • 4
    • Mobile
    • Home
    • Work
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  • 5
    Click 'Next' if not applicable.
    • Mobile
    • Home
    • Work
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  • 6
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  • 7
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  • 8
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  • 9
    If applicable, please list project name, client name or sidemark (S/M)
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  • 10
    Please Select
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    • Palestine
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    • Pitcairn Islands
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    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 11
    If different than Job Site Address
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    Pick a Date
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    If you have two or more identical fixtures in the same room, count as one fixture. Example: Two identical wall sconces in your dining room would count as one fixture.
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    Fixture 1

    (Please answer the following questions about Fixture 1. Click 'Next' to begin.)

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    Ex. 1st floor, 2nd floor
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    Ex. dining room, living room, kitchen
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    If you don't know, enter "don't know".
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  • 28
    If you don't know, please select "No".
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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    Fixture 2

    (Please answer the following questions about Fixture 2. Click 'Next' to begin.)

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    Ex. 1st floor, 2nd floor
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    Ex. dining room, living room, kitchen
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    If you don't know, enter "don't know".
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  • 43
    If you don't know, please select "No".
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
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  • 46

    Fixture 3

    (Please answer the following questions about Fixture 3. Click 'Next' to begin.)

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    Ex. 1st floor, 2nd floor
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    Ex. dining room, living room, kitchen
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    If you don't know, enter "don't know".
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  • 58
    If you don't know, please select "No".
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 61

    Fixture 4

    (Please answer the following questions about Fixture 4. Click 'Next' to begin.)

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    Please tell us the floor and room, such as 1st floor dining room, 2nd floor master bedroom, or 1st floor guest bedroom.
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    If you don't know, enter "don't know".
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  • 72
    If you don't know, please select "No".
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  • 74
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
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  • 75

    Fixture 5

    (Please answer the following questions about Fixture 5. Click 'Next' to begin.)

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    Please tell us the floor and room, such as 1st floor dining room, 2nd floor master bedroom, or 1st floor guest bedroom.
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    If you don't know, enter "don't know".
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  • 86
    If you don't know, please select "No".
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
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  • 89

    Fixture 6

    (Please answer the following questions about Fixture 6. Click 'Next' to begin.)

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    Please tell us the floor and room, such as 1st floor dining room, 2nd floor master bedroom, or 1st floor guest bedroom.
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    If you don't know, enter "don't know".
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  • 100
    If you don't know, please select "No".
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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