Please provide some basic contact information (BOLD fields are required):
For what type of location do you need a cleaning service? Commercial/office location Industrial/manufacturing/warehouse location Retail location Medical facility (hospital/physician office/medical clinic) Restaurant/bar/night club Educational facility Church Other (please specify):
Do you currently have a company providing a cleaning service for your organization? No Yes - please indicate current provider, if known: Not sure
How often will you need this service? Daily Two times per week Weekly Two times per month Other (please specify): Note: The service providers do not accept requests for one-time cleanings, or for a cleaning frequency of less than two times per month (e.g. once a month).
Approximately, what is the square footage of your location? 0 - 2,499 sq. ft. 2,500 - 4,999 sq. ft. 5,000 - 9,999 sq. ft. 10,000 - 49,999 sq. ft. 50,000 - 99,999 sq. ft. 100,000+ sq. ft. Not sure
How many separate locations or facilities will need this cleaning service? 1 2 3-4 5+
When will you need this cleaning service to start? Immediately In one month In two months In more than two months
What additional services are you interested in? Carpet shampooing/stain removal Wood floor care Landscaping Exterior window cleaning Ceiling or wall cleaning Fire/water damage restoration Pest prevention/extermination Drapery/upholstery care Other (please specify):
Please describe any additional requirements you may have for your cleaning services.
