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First and Last name
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Email
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Phone
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Town/City of Residence
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What is the square footage of your home?
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How many bathrooms are you looking to have cleaned? Please specify half and full.
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If you have any furry family members, how many are living in the home?
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How often are you looking to have cleaning services?
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One time clean
Weekly Maintenance
Bi-Weekly Maintenance
Monthly Maintenance
Tell us what you need help with (if you were referred, please name who referred you here)
Are you, or is anyone in your household a: Veteran, Active Service Member, Nurse, Teacher, living with a disability, or the parent of a child younger than 1 year of age. If so, please list which to be eligible for a discounted rate.
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