Are you a first time customer?   Yes No

If so, how did you hear about us?  

What date of service would be most convenient for you?   -- mm/dd/yy

What time would be most convenient for you?   -- hh:mm am/pm


 1) Rooms:  Please enter a numeric amount next to the corresponding room.

      Living Rooms

      Family Rooms

      Dining rooms

      Great Rooms

      Office Rooms

      Sun Rooms

      Master bedrooms

      Master bedrooms w/ sitting area

      Standard Bedrooms

      Full Bathrooms

      1/2 baths

      Playrooms

      Sets of stairs

      Hallways

      Foyers/Landings

basement  **please note that basements come in all shapes and sizes.
Sometimes it is best to break it down into the rooms above, (family room, bedrooms,
hallways, stairs, etc..) then simply check mark the basement box.  Thanks.
 

2) Oriental/Area Rugs Please enter a numeric amount next to the corresponding item.

6x12 oriental rugs

8x14 oriental rugs

10x16 oriental rugs

4x6 area rugs

6x8 area rug

8x10 area rug

10 x 12 area rug

 

      3) Stains:  What kind of stains are you concerned about?

pet stains
 water stains
 ink stains
 food stains
 oil/wax
 heavy traffic
 darkness along walls (soil filtration)
 odor concerns
 mold

Maintenance Plan ** for maintenance plan members only (please call for details)

4) Upholstery Please enter a numeric amount next to the corresponding item.

   Sofas

   Loveseats

   Ottomans

   Arm Chairs

   Sectionals

   Dining room chairs

5) Air Ducts

   Air Ducts (Please enter an exact amount of air ducts you would like to have cleaned)

6) Commercial Cleaning

  Commercial Cleaning (since every structure is not the same, we will call you to determine the   details)

Are there any details we might have left out? Please Explain.

Please provide the following contact information:

            Name 
           Title 
  Street Address 
            City 
 Zip Code 
      Contact Phone 1 
      Contact Phone 2
          E-mail

Most convenient time to reach me would be around