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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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5
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17
18
19
20
21
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23
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25
26
27
28
29
30
31
Year
Year
2023
2024
2025
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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