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RESIDENTIAL CLEANING ESTIMATE             

Complete the entire form and we will contact you regarding your residential cleaning request with a FREE ESTIMATE.

 

 


First Name *
Last Name *
City *
State *
Email Address *
Phone Number
Square Footage of Home *
Unknown
 Unknown? 
Frequency of Service *
Bathrooms *
 Yes 
 No 
If yes, how many in your home
Kitchen *
 Yes 
 No 
If yes, what type of flooring
Dining room *
 Yes 
 No 
If yes, what type of flooring
Main Living room *
 Yes 
 No 
If yes, what type of flooring
Bedrooms *
 Yes 
 No 
If yes, how many in your home
How many are carpeted?
Other flooring types (choose any that apply)
 Tile/Concrete/Marble 
 Hardwood/Laminate 
 Linoleum 
 Other 
Hearth room and/or additional living room *
 Yes 
 No 
 Both 
If yes, what type of flooring (choose any that apply)
 Carpet 
 Tile/Concrete/Marble 
 Hardwood/Laminate 
 Linoleum 
 Other 
Home office *
 Yes 
 No 
If yes, what type of flooring
Bonus and/or Rec. room *
 Yes 
 No 
 Both 
If yes, what type of flooring (choose any that apply)
 Carpet 
 Tile/Concrete/Marble 
 Hardwood/Laminate 
 Linoleum 
 Other 
Laundry room *
 Yes 
 No 
Any rooms not previously mentioned
 Yes 
 No 
If yes, Please list
What type of flooring (choose any that apply)
 Carpet 
 Tile/Concrete/Marble 
 Hardwood/Laminate 
 Linoleum 
 Other 
Do you have inside pets? *
If yes, how many?
Please list types of animals
Any Additional Information You'd like us to know
How did you hear about us? *
If you were referred by one of our customers, please list their name below. A Touch of Class offers Referral Discounts.
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