Carpet Cleaning Appointment Request Form
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Email *
Name of Person Requesting Carpet Cleaning *
Preferred Phone Number *
Other number where we might reach you *
What day would you like us to come? *
Our hours are Monday - Saturday; 8am to 5pm. We are closed Sundays.
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If the day of service is negotiable, what other days would work for you?
Time of Day You Prefer
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What carpet areas would you like cleaned?  
Number of rooms you would like cleaned at $65 each (3 room minimum) *
A ROOM is defined as approximately 200 square feet maximum. We will pre-treat areas to break up heavy soil and spots, then us a carpet extractor to wash, rinse, and extract.
Number of stairs you would like cleaned at $8.00 each *
Number of love-seats or upholstered chairs you would like cleaned at $160 each *
Have you cleaned your loveseat or man chair since you bought it? Over time human oils and debris (coins, food, hair) become embedded in the upholstery. We clean off the dirt and grime to make your upholstered furniture feel fresh again.
Number of couches or sofas you would like cleaned at $210 each *
Have you cleaned your loveseat or man chair in the past year? Over time human oils and debris (coins, food, hair) become embedded in the upholstery. We clean off the dirt and grime to make your upholstered furniture feel fresh again.
Special Instructions
What are your priorities? Any special instructions?
Discount Code
If you have a Discount Code, please enter it here.
How would you like to pay? *
If you have a Discount Code, please enter it here.
Venmo ID
If you want to pay with Venmo, we can bill you within the app. PLEASE NOTE: if you would like to give a tip, which is completely optional, you may include it with your payment or give cash directly to the worker.
How do you prefer to be contacted? *
Address - No P.O. boxes
Street Address *
City *
State *
Zip code *
Door or Garage Code, if any
Booking
An invoice will be sent when work is complete; payment is due immediately.
PLEASE NOTE: Tips are neither expected or required, however if you would like to give a tip, you may include it with your payment or give cash directly to the workers.
Gift Certificate / Discount Code
Please tell how you found us
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Telling us how you found us helps us improve our marketing.
Referred by: We would like to thank them.
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