Service Request Form

Interested in any of our services? Well, we will need some more information so that we can provide you with top-notched Cleaning Ladies. Take a moment to fill out our Service Request Form and a customer care representative will contact you within one business day regarding your request. Your personal information will never be distributed, duplicated, sold, or used irresponsibly.

Interested in any of our services? Well, we will need some more information so that we can provide you with top-notched Cleaning Ladies. Take a moment to fill out our Service Request Form and a customer care representative will contact you within one business day regarding your request. Your personal information will never be distributed, duplicated, sold, or used irresponsibly.

Your Name
Title First Last Suffix
Job Title
Company Name
Current Management Company
Street Address
Address Line 2
City* State
Postal / Zip Code*
Phone
- -
### ### ####
Fax
- -
### ### ####
E-mail*
How did you hear about our services?*
Please Explain:
How soon would you like to begin services?*
OR
Have you ever had experience working with a cleaning company?*
 Yes No
If yes, What did that cleaning company do that you liked/disliked so that we can get a better understanding on how to better serve you:
If no, what traits/characteristics
do you look for in a cleaning company? (punctuality, attention to detail, etc.

Which of our Services are you interested in? *
 Residential Cleaning Commercial Cleaning Other
How many people are in the home on a daily basis (including children)?
Are there any pets in the home? If so, how many and what type?
How many bedrooms are in the home?
How many bathrooms are in the home?
How many levels are in the home?
How many beds would you like to be made (change of linens included)?
What is your preferred Cleaning Day(s):

 Monday Tuesday Wednesday Thursday Friday I don’t care
What are your preferred hours of cleaning:
 Morning (8:00AM-11:00AM) Mid Day (11:00AM-3:00PM), Afternoon/Evening (3:00PM-7:00PM)
What kinds of operations are run from your commercial property?
How many employees are there on a daily basis?
Are there any pets at the property? If so, how many and what type?
How many offices are in the property?
How many restrooms are in the property?
How many receptionist areas are in the property?
How many conference rooms are in the property?

How many break rooms (or kitchenettes) are in the property?
How many levels are in the property?
What are the business hours of the property?
What is your preferred Cleaning Day(s):
 Monday, Tuesday Wednesday Thursday Friday  I don’t care
What are your preferred hours of cleaning:
 Morning (8:00AM-11:00AM) Mid Day (11:00AM-3:00PM) Afternoon/Evening (3:00PM-7:00PM) Late (after 7:00PM)
Would you like for The Cleaning Ladies to provide your property with consumable products?
 Yes No
Would we be able to store our cleaning equipment/supplies at the property?
 Yes No
Which of the following Additional Services are you interested in?
 Refrigerator Cleaning Oven Cleaning Fireplace Cleaning Sign Cleaning
Which of the following Special Services are you interested in?
 Move In Cleaning Move Out Cleaning Post-Construction Cleaning Window Cleaning Special Event Cleaning
What is the desired frequency of our cleaning services? *
 Weekly (Every Week) Schedule Bi-Weekly (Every 2 Weeks) Schedule Monthly (Every 4 Weeks) Schedule Other
Please specify:
What is approximate square footage of the property receiving our services? *
Is there any special flooring at this property? This includes wood, tile, marble, etc. *
 Yes No
If yes:
Are there any preferred cleaning chemicals that we should know about?
Do you feel comfortable in giving us a key (or alarm or garage code) to your property so that our cleaners can access the property when there is no one available to let them in?
 Yes No
Are there any special notes or instructions that you would like for us to know about your property?
Select a Property Type *
 Office Space (i.e. Law Firm, Medical, Realtor) Condominium Apartment Community Government Building Educational / Religious Facility Retail Store Restaurant/Bars Financial Institutions Showrooms Art Galleries Design Studios Single Family House Townhouse Duplex, Triplex, or 4-Plex Dorm Room Mobile Home Vacancies Storage Units Other
Please specify:

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