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Clean Freaks Cleaning New Client Form
If you need to cancel or reschedule please do so 24 hours prior to your appointment time. Payment is due day of cleaning. If paying via check or cash payment is due before cleaners leave your home after cleaning. If paying via electronic payment payment is due evening of cleaning same day.
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Email
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Your email
Full Name:
*
Your answer
Address of cleaning (include town)
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Your answer
Phone Number
*
Your answer
Frequency of cleaning wanted?
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Please enter the product number
Once Every Week
Bi-Monthly/ Every Other Week
Once Monthly
Other Frequency
One Time Deep Cleaning/with furniture in home
One Time Deep Cleaning/empty home (moveout/move in/rental turnover)
Other:
Cleaning add-ons/preferences
Choose size and number per color
Biohazard (please select if there is any animal/human feces, mold, blood etc./ additional charge depending on situation. If unselected an additional $35 will be added if items are present without notice)
Laundry (included in hourly/flat rate)
Dish Washing (included in hourly/flat rate)
Inside Oven (included in hourly/flat rate)
Inside Fridge (included in hourly/flat rate)
Interior Cabinets (included in hourly/flat rate)
Interior Windows (included in hourly/flat rate)
Blinds/Curtain Washing ($10-$100 depending on number of items needing cleaning)
Exterior Window Washing ($10 per window)
Carpet Shampooing with Bissell Pro Heat Machine (No travel fee for Grants Pass locations/ $20-$30 travel fee for Medford/Ashland locations/$40 per carpeted room, hallway, staircase or 150 sqft /$30 per 150 sqft if paired with cleaning)
Patio/Balcony Cleaning ($10-$50 depending on size)
Gift Certificate
Other:
Would you like your cleaner to wear a mask?
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Yes
No
Preferred method of payment **PAYMENT IS DUE AFTER CLEANING/SAME DAY OF CLEANING**
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Zelle
Cash App
Cash
Check (make any checks out to "Clean Freaks")
Invoice (debit/credit card 3.5% processing fee added to total)
Venmo (debit/credit card 3.5% processing fee added to total)
Other:
How did you hear about us?
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Google
Craigslist
Referral
Yelp
Facebook
Instagram
Other:
Required
Optional- Any additional information (List of priorities, entry instructions, gate code, any cleaning specifications or special requests for cleaner)
Your answer
Send me a copy of my responses.
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