Email: |
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Caretaker's
Name & Phone: |
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Additional
Contact Info: |
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How did you
hear about us? |
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| PLEASE
TELL US ABOUT YOUR HOME &
YOUR CLEANING NEEDS |
Year-Round
/ Seasonal? |
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Type of cleaning
needed: |
|
| |
If Recurring,
how often? |
|
|
Clean
the Bedrooms?
# of Bedrooms:
|
|
Clean the Bathroom?
# of Bathrooms:
|
|
Clean
the kitchen?
|
|
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Clean the livingroom?
|
|
| |
Clean the diningroom?
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Will
you be providing some or all
of the cleaning supplies?
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$10.00
per cleaning charge applies
if we provide cleaning supplies |
Specific
Needs or Requests:
|