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After Completion of the Floor Cleaning Quote Form: You will receive a call back from one of our Booking Agent's.

CARPET & TILE CLEANING SERVICE
Date of Requested Floor Cleaning:
What Time of Day Would You Like to Have your Floors Cleaned?
****If Needing a Specific Time; Please Let Us Know (NOTE: All Specific Booked Move Times MUST BE VERIFIED with Booking Agent)?
Hours
 
 : 
Minutes
 
CUSTOMER INFORMATION
Are you a Returning customer?
Yes (Welcome Back)
No - I'm a New Customer
Customer / Business Name
Customer Phone Number:
Customer E-Mail Address:
Address where Floor Are Needing to Be Cleaned:
What Type of Building are you needing Floor Service for:
What type of home do you live in? (Check ALL that Apply!)
Apartment
House
Townhome / Condo
1st Floor
2nd Floor
3rd Floor
Single Story
Two Story
Three Story
Stairs (Inside Home)
Patio/Porch
What Type of Office, Commercial, Restaurant Building are you Needing Cleaned? (Please give as much detail as possible)
How many rooms do you need cleaned?
What is the total estimated approximate square footage of the area that needs cleaning?
Room 1 Square Footage:
Room 2 Square Footage:
Room 3 Square Footage:
Room 4 Square Footage:
Room 5 Square Footage:
Room 6 Square Footage:
Will the cleaner need to move furniture?
Yes, the cleaner will need to move furniture
No, the cleaner will not need to move furniture
Not sure if they will need to move furniture
If you have stairs, How many set of stairs will you need cleaned?
Are there any stains that need to be cleaned? (Check ALL that apply)
Food Stains
Pet Stains
Oil/Grease Stains
Paint/Marker Stains
Wine Stains
No Stains That Need to Be Cleaned
Are there any other specifics that the carpet cleaner will need to now?
What Other Service(s) Do You Need (Check ALL that Apply):
Labor Service Only (No Moving Truck Needed)
Moving Service (Includes Truck)
Delivery Service (1-6 Large Items)
Safe Relocation Service
Piano Relocation Service
Pool Table Relocation Service
Jacuzzi / Hot-Tub Relocation Service
Junk Removal / Location Clean Up Service
Office / House Cleaning Service
Water Clean-Up Restoration Service
What will be your preferred method of Payment?
Cash( Biggest Discount)
Debit
Credit
Check
Money Order
IF You are A NEW CUSTOMER; Please "Let Us Know" How You Found Out About Us:
Thumbtack
Craigslist
Yellow Pages
Google
Marketing Sign
Business Card
Flyer
Referral
Word-of-Mouth
Vendor
T-Shirt / Apparel
Other
IF You Selected OTHER or Used a Third-Party Referral/Reference; Please List Reference:



We Price Match All Our Competitors and Offer Bundle Discounts when Combining More than One of Our Services.
We never ever have Any Hidden Fees! Don't be fooled by low upfront rates, we provide written quotes to show our integrity with our business.



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