Enquiry Form
E: refinedcleaningco.au@gmail.com | ABN 87622576837
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (61+)0000000000.
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Subject
Booking Enquiry Request
What type of clean are you after?
Please Select
General Clean
Deep Clean
Other (More Detail)
Number of Bedrooms
*
Please Select
1
2
3
4
5
6
Other (Please state in Notes)
Number of Bathrooms (1=Bathroom .5=Powder room)
*
Please Select
1
1.5
2
2.5
3
3.5
4
Other (Please state in Notes)
Single or Double Storey Home
*
Please Select
Single Storey
Double Storey
Other
SELECT EXTRAS
Inside Microwave
Dishes / Load or Empty Dishwasher
Mirrors (Mirrors that aren't in bathrooms)
Inside Fridge (Empty)
Inside Fridge (Full)
Extra Tidy Up
Skirting Boards (Wiped clean)
Other (Please note in comments)
Bed Change
Please Select
1
2
3
4
5
6
7
8
Additional Charge
Ceiling Fans
Please Select
1
2
3
4
5
5-10
Additional Charge
When would you like us to come?
-
Day
-
Month
Year
Date
If you have an exact time, please let us know below.
Time in Eastern Australia Time
AM
PM
AM/PM Option
Is your date and / or time flexible?
*
Please Select
Yes, Date and Time
Date only
Time only
No
Requested Cleaning Frequency
*
Please Select
Weekly
Fortnightly
Monthly
Only Once
How will we get inside?
*
Where will we park?
*
On a scale of 1-5, How clean is your home?
*
Please Select
1 - Very dirty
2 - Needs a good clean
3 - Not to bad
4 - Cleaned regularly and maintained
5 - Almost Spotless
Has your house been professional cleaned in the past month?
*
This will help us determine if we need to do a deep clean.
Does you have any pets?
*
Dog
Cat
Both
Other
None
Leave any comments here for us:
How did you hear about us?
Please Select
Google
Facebook
Instagram
Referral
Other
Please verify that you are human.
*
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