Cleveland Cleaners, Maintenance, Jaworksi Cleaning and Maintenance

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House * Office	Commercial & Residential Cleaning

Name:

Mailing Address:

City/State/Zip:

Phone Number:

Cell Number:

Email Address:

Comments:

Tell us more about your project:

How many floors:

Type of home:

Single Family
Townhouse
Apartment
Loft
Other

Home details:

# of bedrooms:

# of bathrooms:

Square footage:

Rooms to be cleaned:

Kitchen
Family Room
Living Room
Dining Room
Hallway
Stairways
Bedrooms

Bathrooms
Attic
Basement
Garage
Laundry Room
Office/Den
Rec. Room
Other

Type of cleaning:

Standard
Deep
Party/Special Occasions
Post Construction
Move In/Out
Carpet Cleaning
Other

How Often:

One time
Daily
Weekly
Bi-Weekly

Monthly
Annually
Seasonally
Other

Preferred Days:

Monday
Tuesday
Wednesday
Thursday

Friday
Saturday
Sunday

Preferred Arrival Time:

8-10
10-2

2-5
Other

Would you like us to provide cleaning products?

Yes
No

Do you have any pets?

Dog

Cat

Other

Do you have excessive pet hair?

Yes
No

How did you hear about us?
Please check all that apply.

Search Engine
Previous Customer
Yellowpages

Direct Mail
Referral
Other

Additional Services provided at additional fees:

Oven Cleaning
Refrigerator Cleaning
Packing/Unpacking for moving
Closet & Drawer Organization
Wash Blinds
Window Washing
Laundry
Dry Cleaning
Other