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Name *

Email *

Phone Number (Optional)

For faster communication

Business Location *

Best Way To Describe Your Business Type (Area To Be Cleaned)

• Office/Cubical
• Warehouse/Factory
• Restaurant/Bar/Pub
• Gym
• Condo
• Medical/Dental Facility
• Other (Specify Below)

If other selected above please describe your business

Estimated Square Footage of Areas To Be Clean

Frequency of cleaning Required (Per Week)1234567

Day(s) of the week Required for Cleaning

• Mondays
• Tuesdays
• Wednesdays
• Thursdays
• Fridays
• Saturdays
• Sundays
• One Time Cleaning

Best Time of Day/Night for Cleaning (Please Include Am or Pm)

Places Require Cleaning

• Office
• Kitchen/Dining Area
• Warehouse/Factory Area
• Garbages
• Dishes
• Bathroom
• Windows
• Floors
• Desk
• Outside Area
• Equipment(Specify Below)

Select One or More

Describe Equipment(s) To Be Clean if selected above

Example: Cooking Equipment, Fridge Etc

Number Of Rooms To Be Cleaned (All Bathrooms)

Products/Equipment Required from Our Team (If Any)

Example: Vacuum, Degreaser, Sanitization Products, Etc

Products/Equipment Provide By You (The Business)

Example: Vacuum, Disinfectant, Garbage Bags, Etc

Any Additional Info and/or Request

Preferred Method Of Contact *AnyEmailPhone

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