BOOK NOW - Karen's Kleaning

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Order Number

First Name

Last Name

Email Address

Phone Number

Street Address of Job Site

City, State, Zipcode

Preferred Contact Method

If setting up appointment for someone else please give us the business name or Contact.

# Bedrooms

#Bathrooms

Total Square Footage

Approx. size of your home if you know.

How many stories is your home?

Do you have pets?

yes

Special Pet Instructions

Please let us know if you have any special instructions for your pets, ex. keep pets in, or keep them out side.

Which Cleaning Service Would you like?

À La Carte

Wash and fold laundry

Iron

Wet wipe window blinds

Wet wipe window tracks

Clean all mirrors

Vacuum / wet wipe inside closets, cupboards and drawers

Clean garage and/or patio

Wash windows

À la carte options will change your price and we will contact you with an estimate.

What type of cleaners would you like used?

Standard Cleaners

Green Certified Cleaners

Please see our products page for more information.

If you have wood floors what cleaner would you like used?

How often would you like your cleaning?

One time

Weekly

Bi-weekly

Every 4 weeks

If one time please specify when?

ASAP or a specific date? AM, PM or don't care.

If on going please specify best days and times?

Best days, Am or PM, or don't care.

How will the crew get in to your home?

Customer home

Key under mat

Door unlocked

Other

Other: please let us know how we will get in.

Is there any items in your home you don't want touched or to be extra careful of?

Are there any rooms or areas you don't want cleaned?

Special Instructions

Any special instructions for the crew?

How did you hear about us?

How would you like to pay?

We require a credit card within 24 hours of appointment confirmation in order to hold your spot.