Estimate

Name:

Phone Number:

Where do you Live:

Email Address:

Type of Home:

How many Floors:

Rooms to be cleaned:

(If more than one bathroom,

bedroom or other room, please

select additional number on far

right to list separately)

Approximate square feet:

Do you have ceiling fans?:

Do you have any pets?:

Preferred type of service:

If Moving-In or Out, what date

are you planning to move?:

Which best describes your

living space/lifestyle:

When was your home last

thoroughly cleaned?:

How often would you like your

home cleaned?:

Would you like us to provide any

additional services on your first

cleaning? If yes, please review

"Services by Special Request"

and include with your estimate:

How did you hear about us?:

If referred by someone we know, what

is their name for bonus eligibility:

What is the primary reason you are

considering our cleaning service?:

For a commitment free cleaning estimate, kindly complete our on-line form. Please be sure to answer all the questions. We will be in contact with you within 24 business hours. Thank you.