Name of Business(required)
Business Phone(required)
Website (required)
Total Square footage (required)
Type of Business (required) —Please choose an option—RestaurantMedicalGeneral officeChurch/Move In OutReal Estate - Move In/Move OutMulti Unit commercial propertyOther
Type of Business
Number of Business Units (required)
Address / City / State / Zip (required)
Contact Name (required)
Direct/ Cell Phone(required)
Email (required)
Position (required)
Service Required(required) —Please choose an option—RestaurantMedicalGeneral officeChurchReal estateMulti Unit commercial propertyOther
Restaurant Services(required) Waiting AreaHostess StandDoors / WindowsDining RoomBar AreaComfort StationsFloorsRestroomsKitchenStorage ClosetsBreak RoomManager’s Office
Medical Services(required) Waiting RoomsReception AreasGeneral OfficesWindows / DoorsBreak-RoomsRestroomsExam RoomsFloorsLabsStorage Closets
General Office Services(required) Entry WayReception AreaDesksWindows/DoorsBreak-RoomsBoard RoomsRestroomsStorage ClosetsFloors
CHURCH Services(required) Main EntranceLobby AreaReceptionDoors / WindowsSanctuaryStage AreaRestroomsFloorsGeneral OfficesClassroomsNurseriesBreak RoomStorage Closets
MULTI - UNIT PROPERTIES Services(required) Entry WaysReception AreasWindows/DoorsGeneral OfficesBreak-RoomsBoard RoomsRestroomsStorage ClosetsFloorsLobbiesStairsElevatorsHallways
Preferred Cleaning Date
Preferred Time —Please choose an option—8:00 am-10:00 am10:00 am-12:00 pm12:00 pm -2:00 pm2:00 pm - 4:00 pm4:00 pm - 6:00 pm
Alternative Cleaning Date
Alternative Time —Please choose an option—8:00 am-10:00 am10:00 am-12:00 pm12:00 pm -2:00 pm2:00 pm - 4:00 pm4:00 pm - 6:00 pm
SPECIAL INSTRUCTIONS(required)
How did you hear about us?(required) —Please choose an option—Internet searchReferralBrochureSocial mediaEmailOthers
Other(required)
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