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Name ( First, Last ) *
Your answer
Phone number with area code *
10 digits, Ex: 931 555 5555 or (931)555-5555
Your answer
Email Address
Your answer
Prefered method of contact
For reminders, updates, and general communication
Physical address for the cleaning *
Your answer
Rooms you want cleaned *
How many bedrooms & bathrooms need cleaned?
ex: 3br 1.5ba or 0br 2ba, if none need cleaned just omit question
Your answer
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.
Approximate size of the home?
in square feet, omit if unknown
Your answer
How frequently do you want your house cleaned?
Most homes do well on a bi-weekly schedule.
Any pets?
If so, how many and what kind? Is there anything I should know about them?
Your answer
Additional info that may be useful or questions?
Any prefered cleaning solutions, Areas to focus on, Things to avoid, etc...
Your answer
Do you qualify for any savings?
You may only use one offer per cleaning.
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