What Can We Do For You?

If you would like an estimate, please fill in as much or as little detail as you want. The more information you can provide, the more accurate an estimate we can produce.

Contact Information

*Name

*Address

*City

*Zip Code

*Phone

Alt. Phone

*Email

*Type Of Service?

Rooms you would like to have cleaned?

Entire House

Square Feet

Specified Rooms Only (select all that apply)

Bedroom How many?	Bathroom How many?
Dining Room	Living Room
Entryway or Foyer	Kitchen
Hall	Family Room
Laundry/Utility Room	Basement
Master bathroom	Master bedroom
Patio/Deck	Study
Stairs
Other

Recreational Vehicle

Type

Size

Cleaning required for each room (select all that apply)

Dust ledges	Dust windowsills
Dust furniture	Dust pictures
Dust baseboards	Wash floors
Wipe down tables	Wipe down hi-traffic windows
Wipe down mirrors	Vacuum or shake rugs
Vacuum edge of carpets	Move small furniture
Remove fingerprints	Remove cobwebs
Clean other items in room

Do Not Provide Standard Cleaning Services - Only do the following:

Additional Services (select all that apply)

Furniture	Vac surface of couches or chairs
	Vac under cushions
Oven	Self Cleaning
	Continuous
	Regular
Refrigerator Interior
Freezer Interior
Change Sheets	All Beds
	Master only
Sliding glass door	Inside
	Outside
Trash	Empty trash into garbage can
	Take garbage can out
	Take kitchen garbage out
Walls	Wash all
	Spot clean
Ceilings - Wash
Windows	Wash inside
	Wash outside
	Wash tracks
	Wash frames

Customary Additional Services for Move-In and Move-Out: (Additional charges will apply)

Professional Carpet Cleaning
Cabinets and drawers - clean inside
Remove shelf liner
Fireplace - sweep out
Garage - sweep out

Previous Experience With a House Cleaning Service?

Yes
No

If yes, which type of service did you use?

How did you hear about us?

If Someone Referred You To Us, Who Can We Thank?