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Name *

First

Last

Email *

Phone Number *

Street Address *

City *

Zipcode *

Square footage *

Frequency Desired (check all that apply) *

How many people live in your home? *

What types of flooring do you have? *

Do you have pets? *

Yes
No

If you have pets, how many and what type(s)?

Are there any areas or rooms in your home that you would not need to be cleaned during the service?

Would you be interested in getting pricing for any of the following deep-cleaning tasks:

Hand-wipe baseboards
Hand-wipe windowsills, lock ledges, doors & door frames
Wipe the entire exterior of kitchen cabinets & drawers
Wipe the entire exterior of bathroom cabinets & drawers
Oven Clean
Fridge Clean

We empower our customers to customize their cleanings as they feel it is needed by providing deep cleaning tasks that may be added onto any scheduled cleaning.

Is there a particular day of the week or date that you wanted to begin service?

Have you ever used a maid service before?

Questions or Comments

How did you hear about us? (check all that apply)

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