Schedule Appointment Today Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country What is the total square footage of your home? * Standard (one time) Deep Clean Move In/Out Cleaning First time ( to start a routine maid service) Preferred Date MM DD YYYY What is the Square Footage? How often would you like us to clean for routine maid service? Weekly Bi-Weekly ( every other week ) Monthly ( every four weeks ) Message * How many bedrooms do you want cleaned? How many half bathrooms do you want cleaned? How many full bathrooms do you want cleaned? How many flights of stairs are there? Number of Glass Panels to be cleaned (i.e. entry doors, glass tables, any glass furniture included, etc.) How many patios/balconies need cleaning services? Please check any of the following additional rooms you would like us to clean. * Breakfast Nook Living Room Kitchen Dining Room Play Room Entry Way ( Foyer ) Office Family Room Mud Room Den Do you have a laundry room that needs cleaning services? Yes No Do you have pets? Yes No Will you supply cleaning products * * Yes No Thank you!
