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Name*

First Last

Email Address*

Phone Number*

ZIP Code*

Current dwelling?*

Approximate square feet?*

How many people reside here?*

How many indoor pets?*

Requested cleaning frequency?*

When was home last fully cleaned?*

Month

Day

Year

Which rooms are carpeted?*

Which rooms will need to be cleaned?*

Kitchen

Bedroom/s

Bathroom/s

Keeping Room

Living Room

Family Room

Great Room

Dining Room

Bonus Room

Stairway/s

Foyer

Hallway/s

Laundry Room

Sunroom

Playroom

Media Room

Office

Patio

Theatre

Gym/Exercise

Other*

For "Stairway/s" chosen in previous question, please choose quantity*

For "Office" chosen in previous question, please choose quantity*

If Other, please specify

Number of bedrooms to clean?*

Will we be changing bedding?*

Yes

No

If so, how many beds will we be changing?*

How many full bathrooms (shower and/or tub)?*

How many powder bathrooms (no shower or tub)?*

Do all rooms listed above need cleaning each visit?*

Yes

No (If no please state in comment section which rooms do not need cleaning each visit and how often.)

Comments

Δ

Get Your Estimate

About Us
- Helping Cancer Patients
Testimonials
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Specials
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- Friends
Contact Us

Mindy ~ Quarterly Star

Posted in Star, Uncategorized

← Tanya ~ Quarterly StarWhy One Cleaner is Safer than a Team →

Maid In America

Bonded – Insured- Licensed

Appointments kept – supplies provided

English speaking – privately owned – no teams

Serving the West Georgia cities of:
Acworth, Kennesaw, Woodstock, Cartersville, West Cobb Marietta, Dallas, Hiram, Powder Springs

Serving the West Georgia zip codes of:
30101, 30102, 30188, 30189, 30152,30144, 30132, 30157, 30127, 30141

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