Cleaning Client Information Form

Name

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone

Email*

What type of reminder would you like to receive for each service?*

TextEmail

Preferred time of the day for cleanings?*

MorningsAfternoons

# of bedrooms*

# of bathrooms*

Approx. square foot

# of stories*

Pets? If yes please fill in how many and kinds*

Additional Services

Cleaning Supplies:

Client will provide cleaning supplies.Cleaning company to provide cleaning supplies (may have an additional cost).

How will we access the property for cleanings?

Key, Garage Code, Door Code..etc...

Special Instructions or Notes:

List tasks to exclude:

Signature

Date