Zip Code First 3 Digits * 070 071 072 073 074 076 078 079 085 088 089 Zip Code Last 2 Digits * Your E-Mail *
Home Phone * Street Address
Work Phone Fax Cell Phone Best Way to Contact You * Call my work number Call my home number Call my cell phone Send e-mail when ready and I will call you Frequency of service you want priced (check all that apply) * How did you hear about us * Google Search Engine Yahoo Search Engine Other Search Engine Verizon Superpages Online Yahoo Yellow Pages YellowPages.com Other Online Yellow Pages Verizon Printed Yellow Pages Other Printed Yellow Pages Money Mailer Coupon Other Coupon Mailer Referred by another customer Referred by another company Saw your company car Business card from employee Newspaper Ad Other Please describe the home you want cleaned below.
Include ALL areas of the house, not just those you want cleaned.
You will be able to specify what areas to omit at the end. Type of Home * Colonial two-story Col/Victorian three-story Split Level Cape Cod Ranch Bi-Level/Raised Ranch Contemporary Townhouse Apartment (one-level) Half of a Two-Family (Duplex) Other If "Other", Please Specify Approximate Size (Square Feet) of House * Under 1,200 (Very Small or Apartment) 1,200-2,000 (Small) 2,000-2,750 (Average) 2,750-3,500 (Above Average) 3,500-4,250 (Large) 4,250-5,000 (Very Large) Over 5,000 (Palatial Dream House) Other or No Idea (Optional) Square Feet if known Number of Bedrooms/Offices * Total No. of Full Baths (Tub or Shower)(Including Master Bath) * Type of Master Bath * No Master Bath Stall Shower only, no Tub Ordinary Shower over Tub Large Shower Stall and Tub Deluxe Shower, Jacuzzi, Water Closet No. of Half Baths (Toilet/Sink Only)(Enter "0" if none) * Floor type (in other than Kitchen/Baths) * All wall to wall carpet, No hardwood floors Mostly wall to wall, a few hardwood floors 50% wall to wall, 50% hardwood Mostly hardwood, a few wall to wall All hardwood, no wall to wall Type of Kitchen * Tiny Gally Type Small, not eat-in Typical eat-in Above average eat-in Large with Island Very large with island Please check all other rooms in your home, but don't count any twice * List Any Additional Rooms Not Detailed Above No. of Adults in Home * No. of Children(Enter "0" if none) No. of Dogs(Enter "0" if none) * No. of Cats(Enter "0" if none) *
Please list any rooms not to be cleaned along with any other information you feel will help us understand your needs