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PERSONAL INFORMATION
Full Name
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Phone
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Email
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Full Address
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SERVICE INFORMATION
Do you have Pets?
*
YES
NO
Type of Cleaning
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Airbnb
Move-in/out
General Cleaning
Deep Cleaning
Green Cleaning
911 Cleaning (Clean my house now!)
Office Cleaning
Number of Bedrooms
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1
2
3
4
5
6
7 or more
Number of Bathrooms
*
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1
2
3
4 or more
EXTRA ROOMS?
Ex: 1 extra office, 2 living rooms, etc
Extra Cleaning Tasks
Oven Cleaning (+$30)
Refrigerator Cleaning (+$51)
Laundry per Load, while Cleaning (+$25)
Approx. Area
Best way to Access your Home?
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I'll be Home!
I'll leave the Key.
I'll Provide Access Code
Appointment Date
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
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19
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28
29
30
31
Year
Year
2021
2022
2023
Time
Hour
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
Minute
00
15
30
45
am
pm
Payment Option
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Cash
Check
Credit Card
Additional Information
Any other details about your home or request...
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