Estimate Request Form

Company Name

Full Name *

Email *

Phone *

Property Address

Address *

City *

State *

Postal code *

Services Requested

Cleaning Package *

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

Yes, I'm Looking For Recurring
No, One-Time Cleaning!
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Frequency of Cleaning *

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

Bedrooms *

1
2
3
4
5
6 +
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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

0
1
2
3
4
5
6
7
8 +
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(Don't Include If Included In Bedrooms)

Rate Your Home *

Very Clean
Above Average
Average Clean
Slightly Dirty
Mostly Dirty
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Extras

How Many Pets? *

(Please Only Include Pets That Shed Heavy)

Additional Rooms

1
2
3
4
5
6
7
8 +
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(Media, Movie, Loft, Family, Etc)

Customize Your Clean - Extras

Inside Oven

Inside Fridge

Sweep Garage

Sweep Patio/s

Wash Face Of Cabinets

Inside Cabinets (Must Be Emptied)

Inside Drawers

Wash Baseboards

Make Bed/s

Dishes (1 Sink Full)

Additional Notes

Requested dates

Preferred Cleaning Dates

Call Back Date

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