Request a quote here
or by calling 561.716.6243
Personal information
First Name
*
Last Name
*
Address1
*
Apt/Suite #
City
*
State
*
---Select State---
Alabama
Alaska
Arizona
Arkansan
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
*
Email Address
*
Best Contact Number
*
-
-
Mobile Phone Number
-
-
Work Phone Number
-
-
Type of Service Required
*
--- Select Service ---
Residential
Office
Residential Questions
Type of Service Required
*
--- Select Service ---
One time "Spring Cleaning"
Once a week
Once every other week
Once every four weeks
Move-out "Broom Swept Cleaning"
Move-in "Intense White Glove Service"
Post Construction
Number of Bedrooms
*
---Select---
1
2
3
4
5
6
Number of Baths
*
---Select---
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6+
Living room/dining room
Separate Dining room
Office:
---Select---
Yes
No
Family room other than Living room:
---Select---
Yes
No
Enclosed Porch or Florida room:
---Select---
Yes
No
Amount of Square Footage Under Air:
---Select---
less than 1000
1000-1500
1500-2000
2000-2500
2500-3000
3000-3500
more than 3500
The common living area (living room/dining room) is:
Carpet
Tile/Marble
Wood/Laminate
The bedrooms are:
Carpet
Tile/Marble
Wood/Laminate
Adults over the age of 21:
Children:
---Select---
Yes
No
How many?
Pets:
---Select---
Yes
No
dog(s)
cat(s)
bird(s)
other
I have had a service in the past:
---Select---
Yes
No
If yes, name of company and reason you are no longer using their service
What day(s) of the week would you prefer your cleaning to be performed?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*
Please use Shft+Arrow key to select more.
In the morning or afternoon?
---Select---
Morning
Afternoom
I prefer to be home while cleaning is being performed
I prefer to be a “Key Account” and will occasionally be at home
Residence is in a gated community:
---Select---
Yes
No
Office Questions
Type of Service Required
*
--- Select Service ---
Once
Daily
Weekly
Number of: Offices/Cubicles:
*
Number of Baths
*
---Select---
1
2
3
4
5
6
Amount of Square Footage Under Air:
---Select---
less than 1000
1000-1500
1500-2000
2000-2500
2500-3000
3000-3500
more than 3500
The common areas are:
Carpet
Tile/Marble
Wood/Laminate
Concrete
The offices/cubicles are:
Carpet
Tile/Marble
Wood/Laminate
I have had a service in the past:
---Select---
Yes
No
If yes, name of company and reason you are no longer using their service
What day(s) of the week would you prefer your cleaning to be performed?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*
Please use Shft+Arrow key to select more.
In the morning or afternoon?
---Select---
Morning
Afternoom
I prefer to be home while cleaning is being performed
I perfer to be made a "Key Account" and occasionally will be at home
Office is in a gated community:
---Select---
Yes
No
Office is in a secured building:
---Select---
Yes
No
If part-time resident, please include your other address
Address1
Address2
Address3
City
State
---Select State---
Alabama
Alaska
Arizona
Arkansan
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode