Make a wish
Name ( First, Last )
Phone number with area code
10 digits, Ex: 931 555 5555 or (931)555-5555
Prefered method of contact
For reminders, updates, and general communication
Physical address for the cleaning
Rooms you want cleaned
Kitchen / eat in dining room
Formal dining room
Foyer/mudroom, hallways, & stairs
How many bedrooms & bathrooms need cleaned?
ex: 3br 1.5ba or 0br 2ba, if none need cleaned just omit question
Special request items needing done:
These items are not part of a routine cleaning and I will need to be advised if you want them done.
Washing, Drying and Folding laundry
Inside of refrigerator, oven, cabinets cleaned out
Approximate size of the home?
in square feet, omit if unknown
How frequently do you want your house cleaned?
Most homes do well on a bi-weekly schedule.
Just occasionally or seasonal cleanings
If so, how many and what kind? Is there anything I should know about them?
Additional info that may be useful or questions?
Any prefered cleaning solutions, Areas to focus on, Things to avoid, etc...
Do you qualify for any savings?
You may only use one offer per cleaning.
10% Military Discount (includes active duty, veterans, retirees)
20% off first clean ( if signing up for weekly or bi-weekly service)
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