Amaculate Housekeeping - Service Order

Amaculate Housekeeping Service Order Form
Serving Spokane, Spokane Valley, Liberty Lake, Cheney, Airway Heights, Elk/Chattaroy, Deer Park

We will always give you a call to work out the details prior to sending a house cleaner. The information provided on this form will give us the information we need to give you an accurate response to your request. This form is best completed by past customers or potential customers who are not cleaned on a regular schedule by Amaculate. If you are a regularly cleaned customer, please call if you want to make a change to your schedule. Our phone number: (509) 922-4382.

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First name: *
Last name: *

Daytime phone number: *

Best time to call: AM PM

Email address:

Have you used Amaculate before: Yes No

Date you prefer to be cleaned: Click to show calendar

*

Time of day you prefer the cleaning work begin: *

Street address - location to be cleaned: *

City - location to be cleaned: *

Billing address:

Billing address (continued):

Billing - city:

Billing - state/province:

Billing - zip/postal code:

Billing - country:

Choose one of the following options: *

This is a home which I own and live in.

This is a home I own and rent/lease to others.

This is an apartment/condo I occupy.

This is a commercial property I occupy.

Other

This location is presently unoccupied (empty, no furniture): Yes No

I would like to be cleaned: *

4 hours 6 hours 8 hours More than eight

Weekly Bi-weekly Monthly One Time Other

I want a team of two cleaners: Yes No

How many bathrooms: *

How many bedrooms:

Do you want the oven cleaned: Yes No

Do you want the inside of the refrigerator cleaned: Yes No

Other cleaning requests / comments: (1000 characters allowed, about 160 words
Note: We do not shampoo carpets. We do vacuum them.
Note: We will clean the inside of easily, safely-reached windows, upon request. We do not clean outside windows except for the outside of sliding glass doors.

Directions to the location being cleaned if not very easy to find: (1000 characters allowed, about 160 words)