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Home Cleaning Service Form
Please fill form below to request a scheduled cleaning.
Contact Information :-
Type of Residence :
Select
Single-Family Home
Townhome
Apartment
Number of Bedrooms :-
Small/Medium
Select
0
1
2
3
4
5
6
6+
Large/Master
Select
0
1
2
3
4
5
6+
Number of Bathrooms :-
Half Baths (toilet, sink) :
Select
0
1
2
3
4
4+
Full Bath (toilet, sink, tub/shower combo) :
Select
0
1
2
3
4
4+
Master Bath (double or two vanities, separate shower & bath tub) :
Select
0
1
2
3
4
4+
Additional Rooms/Areas to be Cleaned :
Kitchen
Living Room
Dining Room
Office
Staircase
Mud Room
Hallway
Other
Desired Schedule :-
Frequency :
Select
One time only
Daily Cleaning
Once a week
Once every other week
Once a month
Move-In Cleaning
Move-Out Cleaning
Other
Days :
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Terms & Conditions :
*
We would ask you to let us know as soon as your plans change. We try to be as flexible as possible. You may reschedule or skip (or even cancel) up to 24 hours before service without charge.
However, a late cancellation fee will apply within 24 hours up to 7am on the day of scheduled service. After 7am, the entire fee is payable since our time is not reusable.
Your Company Name
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Twitter
Linkedin
Google+
A brief intro is always great. It's Helps people to identify your company.
Address
[email protected]
800-555-0101
yoursite.com