Free Cleaning Service Supplies Order Form Template

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Free Cleaning Service Supplies Order Form Template

Cleaning Service Supplies Order Form

Please fill out all relevant fields with accurate information to complete your order.

Ordered By:

Buyer Name:

[Buyer Name]

Address:

[Buyer Address]

Number:

[Buyer Number]

Email:

[Buyer Email]

Deliver To:

Receiver Name:

[Receiver Name]

Address:

[Receiver Address]

Number:

[Receiver Number]

Email:

[Receiver Email]

Order Details

Supplies Description

Quantity

Unit Price

Total Price

All-Purpose Cleaner (1 gal)

5

$10.00

$50.00

Microfiber Cleaning Cloths

10 packs

$8.50

$85.00

Mop Heads

3

$15.00

$45.00

Vacuum Cleaner Bags

2 boxes

$20.00

$40.00

Disposable Gloves

1 box

$12.00

$12.00

Trash Bags (30 gal)

4 boxes

$18.00

$72.00

Window Cleaner Spray (32oz)

8 bottles

$5.00

$40.00

Broom

2

$10.00

$20.00

Total

$364.00

Payment Information

Payment Method:

  • Credit Card

  • Check

  • Cash

  • Other:                               

Billing Address (if different from delivery address): [Billing Address]

Delivery Information

Delivery Date Requested: [Delivery Date Requested]

Special Delivery Instructions:

Please deliver the order to the rear entrance of the building between 9:00 AM and 5:00 PM Monday through Friday.

Terms and Conditions

  • All sales are final. No returns or exchanges unless goods are defective.

  • Payment is due upon receipt of invoice unless credit terms have been established.

  • Late payments are subject to a [X]% late fee per month.

This form serves as an official request for the listed items. By signing below, the customer agrees to the terms and conditions outlined above.

[Buyer Name]

[Date]

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