Cleaning Application

Cleaning cycle *

Several times per week Once per week Once every two weeks Once per month once only

Company Name

Office Cleaning

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Additional Cleaning Option

Clean refrigerator Clean gas or electric oven

Caution Message

Checklist

There are pets inside. There are people around during the cleaning.

Payment Method *

Credit Card Check Cash

We will send you a receipt by email.

After the cleaning is finished, you will be paid by manager.

Check payable to the “ Home Acer”