Apointment Request Form

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Description

Email *

Are you a new or existing client? *

New

Existing

Address *

Phone Number *

How did you hear about us? *

What is the square footage of your home? *

How many people live in the home? *

Do you have pets? If so, list what types and how many. *

When was the last time your home/office was professionally cleaned? *

1-3 Months

4-6 Months

6-12 Month

1+ Year

Please select all that apply to you or your home.* *

Someone has been sick within the last 48 hours

Home needs de-cluttering/organizing prior to cleaning

An excessive amount of debris/trash

None of the above

Other:

Required

Which type of service are you looking for? *

Gold Package- ($125 min.)- All living areas dusted (ceiling fans included),Table tops wiped, Kitchen (Counters wiped, Stove top wiped, Microwave-Inside/outside, outside of major appliances polished), Bathrooms (Toilets-Inside/Out, Mirrors, sinks/faucets, countertop/vanity, tub/shower), Sweep, Vacuum, and Mop, Trash Removed,

Platinum Package- ($150 min.)- All living areas dusted (ceiling fans included),Table tops wiped, Kitchen (Counters wiped, Stove top wiped, Microwave-Inside/outside, outside of major appliances polished), Bathrooms (Toilets-Inside/Out, Mirrors, sinks/faucets, countertop/vanity, tub/shower), Sweep, Vacuum, and Mop, Trash Removed, Blinds and baseboards dusted, All cabinet faces SPOT cleaned, Linens on MASTER BED changed ,

Diamond Package- ($250 Min.)- All living areas dusted (ceiling fans included),Table tops wiped, Kitchen (Counters wiped, Stove top wiped, Microwave-Inside/outside, outside of major appliances polished), Bathrooms (Toilets-Inside/Out, Mirrors, sinks/faucets, countertop/vanity, tub/shower), Sweep, Vacuum, and Mop, Trash Removed, Blinds and baseboards HAND WIPED, All cabinet faces cleaned from TOP to BOTTOM, Linens on MASTER BED changed, Light Fixtures Dusted

Move IN/Move OUT Clean- ($300 min)-This move-in or out package includes top to bottom cleaning including all trim work, inside and outside of cabinets, light fixtures cleaned. The refrigerator, oven and windows are not included in the standard package, however, this package is fully customizable to fit your needs.

Post Construction Clean: Prices vary depending on how many cleanings are needed. Everything is customize-able to fit your needs.

New Build Construction clean: Prices vary depending on how many cleanings are needed. Everything is customize-able to fit your needs.

Required

Would you like any add ons? *

Oven ($35+)

Refrigerator ($35+) **There will be an additional $25 fee to remove and/or replace items.

Cleaning and Organizing Front/Back Porch (hourly rate)

Windows (within reach, we do not use ladders) (priced per window)

Hand Scrubbed Floors (hourly rate)

Trash Can Cleaned ($10+)

Sanitizing Wipe Down ($10+)

Detailing of Furniture (custom quote required)

Misc Organizing Project (hourly rate)

Wipe out Dishwasher ($15+)

Other:

Required

If you checked the box to add on windows, how many are there to be cleaned? *

How often would you need service? *

As needed - I will submit an appointment request when needed

Monthly

Bi-weekly (Every 2 Weeks)

Weekly

One-Time

Other:

Would you like this appointment scheduled as soon as possible? Please write "yes" or leave a date range that you would like service. *

What days and times work best for you? We can not guarantee these days or times but will try to honor your request. *

Would you like a quote first or to be added to the schedule? *

Send me a quote

Schedule my appointment and send an invoice

Anything else you would like to add? *

I understand that Superior Bright Cleaning Solutions, LLC. requires me to view their service agreement at https://docs.google.com/document/d/17ydfSwXrcfv-dBrvvSnhimwz-fLhRVjUZ3wlWaCJ4qk/edit?usp=sharing prior to service being conducted. *

Yes. Checking this box means that I agree to the terms and conditions.

Please Electronically Sign by typing your full name in the box. *

Send me a copy of my responses.

Submit

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