SERVICE ENQUIRY Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Sevice Required * House Cleaning Office Cleaning Heavy Duty Cleaning Type of Cleaning Regular Cleaning Detail Cleaning Deep Cleaning Date MM DD YYYY Time * Hour Minute Second AM PM Area of the Building * Flooring type * Number of rooms including kitchen and hallway * Number of Staircases * Number of bed rooms * Number of Bathrooms Do you have a basement? * Yes No Product Required? Standard Green Others If you need other cleaning products, please specify Additional Comments/ Service Requirements Thank you!