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Company Name

First Name *

Last Name *

Phone *

Email *

Property Info

Street Address *

City *

State *

Postal code *

Service Request

Cleaning Package *

DESIRED SERVICE

Standard Recurring Cleaning
Deep Cleaning
Move-In/Move-Out Cleaning
Office Cleaning
Commercial Space (Over 8K SQFT)
Other
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FREQUENCY *

FREQUENCY

One-Time
Daily
Weekly
Every 2 Weeks ( Most Popular)
Every 4 Weeks
2 Times a Week
3 Times a Week
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Bedrooms *

# OF BEDROOMS

1
2
3
4
5
6 +
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Bathrooms *

# OF BATHROOMS

1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8 +
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Square Footage *

Office/ Rooms (Not included already) *

OFFICES/ROOMS

0
1
2
3
4
5
6
7
8 +
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Rate Your Home

RATE YOUR HOME

Very Clean
Above Average
Average Clean
Slightly Dirty
Mostly Dirty
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How Many Pets? *

Date Picker

Extras & Add-ons *

Extras & Add-ons

Inside Oven
Inside Fridge
Wash Baseboards
Exterior Cabinets
Interior Cabinets
Wash Inside Drawers
Wash Interior Windows
Wash Exterior Windows
Junk & Trash Removal
Blow Out Garage
Sweep Patio
Dishes
Make Beds
Heavy Duty Cleaning
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