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New Customer Data Sheet

First Name
Last Name
Preferred Phone Number
Secondary Phone Number
Email
Address
City
State
Zip Code
Best time to contact you ASAP Morning Afternoon Evening
Preferred contact method Phone Email No Preference
How did you hear about us?
Type of Residence
Beds
Baths
Frequency
Type of cleaning needed Gold Star Cleaning Service (Basic Cleaning)
Platinum Cleaning Service (Deep Cleaning)
Move In/Move Out Cleaning
Hourly Cleaning Service
Clean inside refrigerator? Yes No Not Sure
Clean inside oven? Yes No Not Sure
Vacuum Furniture? Yes No Not Sure
If 'yes', please list items
Number of Pets
Approx. Square Feet
How many levels will we be cleaning?
Special Instructions