[HOME] House Cleaning New Client + Weekly Recurring Payments

[ENTER ORGANIZATION NAME] offers exceptional cleaning services.

Enter your information, click "Submit" to pay, and then we'll call you to get started!

[ENTER BUSINESS NAME, ADDRESS]
Phone: (123) 456-6789
Email: YourName@YourEmail.com
Website: YourWebsite.com

Intro to our Cleaning Services
Your Name * First Last
Email Address
Scan Barcode

Confirm Email *
Telephone * - ### - ### ####
Address *
Address Type Street Address Address Line 2 Apartment City State / Province / Region Postal / Zip Code Country
How many bedrooms? *
How many half baths? (toilet, sink) *
How many full baths? (toilet, sink, shower or tub) *

When can we clean your home? (the more options, the better) *
	8am to 11am	11am to 2pm	2pm to 5pm
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays

"STANDARD CLEAN" service includes:

Cobweb Removal
Dusting
Kitchen Counters
Mirrors
Mopping
Polishing Furniture
Shower/Bathtub
Sinks
Sweeping
Toilet: Inside and Outside
Vacuuming (Vacuum Provided By Customer)
Window Sills
Wipe Down of Appliances and Cupboards

All floor care is completed with a microfiber pad on rotating swivel head, combined with our eco-friendly floor cleaning products.
"DEEP CLEAN" service includes the "STANDARD CLEAN", plus:

Baseboards Scrubbed
Ceiling Fans
Dusting of Blinds/Vents
Dusting of Doorways
Dusting of Walls/Ceilings
Light Switches/Light Fixtures
Outside of Cupboards and Appliances Scrubbed
Tile/Stone Back splash Scrubbed
Vacuuming of Curtains
Vacuuming Upholstered Furniture

If there's anything else within your home that needs to be cleaned, and not listed in the above? If so, please let us know and we can suit your custom cleaning requirements!
Definitions

ONE ROOM:

Dining Rooms, Bedrooms, Full Bathrooms, Sun Rooms, Living Rooms, Basements, Kitchens, Media Rooms and Home Offices

HALF ROOM:

Half Bathrooms, Closets, Mudrooms and Laundry Rooms

If you have any questions regarding areas to be cleaned within your home, please let us know!
FOUR CLEANING SERVICES - PLEASE SELECT ONE

Please select one of four cleaning services below
STANDARD CLEAN service: If you would like your home cleaned ONCE PER WEEK, please select how many rooms (billed monthly)?
STANDARD CLEAN service: If you would like your home cleaned TWICE PER WEEK, please select how many rooms (billed monthly)?
STANDARD CLEAN service: If you would like your home cleaned ONCE PER MONTH, please select how many rooms (billed monthly)?
DEEP CLEAN service: If you would like your home cleaned ONCE PER WEEK, please select how many rooms (billed monthly)?
Add-ons (billed monthly)
Clean inside of fridge ($15 per wk) Clean inside of oven ($10 per wk) Clean inside of microwave ($7 per wk)
TERMS & CONDITIONS: You may reschedule up to 24 hours before the service without charge. However, the full charge will apply if you do not cancel within 24 hours of the scheduled service. *
I have read and agree with the above
$0

Total

[HOME] House Cleaning New Client + Weekly Recurring Payments

[HOME] House Cleaning New Client + Weekly Recurring Payments

"STANDARD CLEAN" service includes:

Cobweb Removal
Dusting
Kitchen Counters
Mirrors
Mopping
Polishing Furniture
Shower/Bathtub
Sinks
Sweeping
Toilet: Inside and Outside
Vacuuming (Vacuum Provided By Customer)
Window Sills
Wipe Down of Appliances and Cupboards

Definitions

ONE ROOM:

Dining Rooms, Bedrooms, Full Bathrooms, Sun Rooms, Living Rooms, Basements, Kitchens, Media Rooms and Home Offices

HALF ROOM:

Half Bathrooms, Closets, Mudrooms and Laundry Rooms

FOUR CLEANING SERVICES - PLEASE SELECT ONE

$`0`

Total

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[HOME] House Cleaning New Client + Weekly Recurring Payments

[HOME] House Cleaning New Client + Weekly Recurring Payments

"STANDARD CLEAN" service includes: Cobweb Removal Dusting Kitchen Counters Mirrors Mopping Polishing Furniture Shower/Bathtub Sinks Sweeping Toilet: Inside and Outside Vacuuming (Vacuum Provided By Customer) Window Sills Wipe Down of Appliances and Cupboards

Definitions ONE ROOM: Dining Rooms, Bedrooms, Full Bathrooms, Sun Rooms, Living Rooms, Basements, Kitchens, Media Rooms and Home Offices HALF ROOM: Half Bathrooms, Closets, Mudrooms and Laundry Rooms

FOUR CLEANING SERVICES - PLEASE SELECT ONE

$0

Total

"STANDARD CLEAN" service includes:

Cobweb Removal
Dusting
Kitchen Counters
Mirrors
Mopping
Polishing Furniture
Shower/Bathtub
Sinks
Sweeping
Toilet: Inside and Outside
Vacuuming (Vacuum Provided By Customer)
Window Sills
Wipe Down of Appliances and Cupboards

Definitions

ONE ROOM:

Dining Rooms, Bedrooms, Full Bathrooms, Sun Rooms, Living Rooms, Basements, Kitchens, Media Rooms and Home Offices

HALF ROOM:

Half Bathrooms, Closets, Mudrooms and Laundry Rooms

$`0`