Sparkle and Shine Cleaning Service
First and Last Name
*
Physical Address
*
City, State and Zip Code
*
Phone Number
*
Email Address
*
Square Footage to be cleaned
*
Number of Full Baths
*
Number of Half Baths
*
Number of Bedrooms
*
Type of Dwelling
*
Please select...
Single Family Home
Apartment
Condo
Office
Other
Type of Cleaning Requested
*
Please select...
Standard
Deep
Special Occasion
Post Construction
Move In/Move Out
How often?
*
Please select...
Daily
Weekly
Bi-Weekly
Monthly
One-Time
Other
Are there pets in the house?
*
Dog
Cat
Other
None
Is there excessive pet hair?
*
Please select...
Yes
No
How did you hear about us? If referral, please give name.
*
Additional Services requested at additional fees
Oven Cleaning (Inside)
Refrigerator Cleaning (Inside)
Closet Cleaning/Organizing
Wash Blinds
Laundry
Dishes
Curtains
Vacuum Couch and Chairs
Plants Dusted
Bookcases Emptied and Cleaned
Pet Cage/Litter Box Cleaned
Bed Linens Changed
Garage Sale Prep
Yard Cleanup
Other (Please Specify)
Need assistance with this form?
Report abuse
Home
About us
Services
Testimonials
Contact us
Request Estimate
Make a
Free Website
with
Yola.