First Name *

Last Name *

Phone *

Email *

Street Address *

City *

State *

Postal Code *

Choose Your Membership Plan *

Bi-Annual (10% Savings • 2 Visits/Year)

Quarterly (15% Savings • 4 Visits/Year)

Monthly (25% Savings • Monthly Service)

Which services would you like included in your recurring membership? (select all that apply) *

Questions or Special Requests

Keep It Clean Club Membership Agreement

By enrolling in the Keep It Clean Club, you acknowledge and agree to the following:

Your membership includes recurring scheduled services based on the plan you selected.
Membership is free to join and remains active until canceled.
Membership requires a one-year commitment.
If you cancel before completing one year, you agree to repay the membership discounts you received during that period.
Power Clean will contact you to schedule your recurring services.
Your signature below serves as your agreement to these Membership Terms & Conditions.

I have read and agree to the Membership Terms & Conditions above. By submitting this form electronically, you acknowledge that your electronic signature has the same effect as a handwritten signature. I agree to receive calls, emails, and text messages regarding my Keep It Clean Club membership, scheduling, appointment reminders, service updates, and account information.

Yes, I'd like to receive occasional text messages and emails about special offers, seasonal reminders, membership updates, and new services from Power Clean. I understand I can opt out at any time.

Keep It Clean Club Member Signature

Clear