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Residential & Commercial
Name *

First Name Last Name
Cell Phone *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Appointment *
What type of service applies to you? *

Standard Cleaning Deep Cleaning Post-Construction Cleaning Office/Commercial
Type of Home *
Square footage of home *
Square footage of office/space *
# of washrooms *
Lunch room/Kitchen *
Cleaning supplies *
Vacuum Cleaner *

We have a vacuum cleaner Please bring a vacuum cleaner
Is this a one-time or a recurring session? *

One-time Recurring
Frequency of the Sessions *

Daily Weekly Bi-Weekly Monthly
# of bedrooms *
# of bathrooms *
# of kitchens *
Basement Included? *

Yes No
Type of Flooring *
Cleaning Supplies *
Do you have pets? *
Do you have kids (optional)
Will you (or anyone) be home during the session? *
Select Extras:

Laundry Marks on Walls Inside the Windows Inside Cabinets Inside the Fridge Inside the Oven Carpet Shampoo Cleaning
Special Instructions or Requests
Should be Empty:

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