Name

Address

Phone number

Email

Preferred Date

Preferred Timeslot

• Morning (8:00 AM - 12:00 PM)

• Afternoon (12:00 PM - 4:00 PM)

• Evening (4:00 PM - 6:00 PM)

Frequency of Service

• One-time

• Weekly

• Bi-weekly

• Monthly

Type of Cleaning

• Basic Cleaning

• Deep Cleaning

• Move-in/Move-out Cleaning

• Post-renovation Cleaning

Cleaning Areas

Select all that apply:

• Living Room

• Bedrooms

• Bathrooms

• Kitchen

• Laundry Room

Preferred Payment Method

• Credit Card

• Debit Card

• Cash

• Check

Special Requests

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