Contact Information
Comnpany Name
:
Contact Name (First and Last)
:
Contact Phone Number
:
Ext.
Email Address
:
Service Requested
Vacuming
Trash Removal
Restrooms
Glass Cleaning
Dusting
(Glass is done only as needed unless otherwise specified)
How Many Offices Or Desks?
--Please Select--
NONE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21-30
31-40
41-50
51-60
More than 60
Approximately How Many Toilets
--Please Select--
NONE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
Approximately How Many Sinks
--Please Select--
NONE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
Which Best Describes The Floors
In The Areas To Be Cleaned
--Please Select--
Carpeting
Carpeting with Tile in Bathrooms
Tile
Marble Or Stone
Hardwood
Bare Concrete
Frequency Of Cleaning
--Please Select--
Everyday
Six Times a Week
Five Times a Week
Four Times a Week
Three Times a Week
Twice a Week
Once a Week
Every Two Weeks
Approximate Square Footage Of Office (If Known)
Please list times of day/night that will be convenient for you to have us clean your office.
Additional Misc. Information or Services