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Please complete the form below and we will contact you with an estimate within 24 hours.

CONTACT INFORMATION
   

First Name:

Last Name:

Phone Number:

Email Address:

Street Address:

City/State/Zip:

How did you hear about the Coop?

   
RESIDENTIAL INFORMATION
   

My residence is a:

Yes, we clean offices and commercial properties too! Call us at 347-662-2440 for details.

Number of floors/stories:

Number of bedrooms:

Number of bathrooms (full and half):

Other rooms (check all that apply):

Kitchen

Living Room

Dining room

Office

Playroom

Den

Hallway

Foyer

Basement

Other (please list):

   

Additional services (check all that apply):

Clean Inside Oven

Clean Inside refrigerator

Laundry

Organize closets/cabinets

   

Do you have pets?

           

   
CONVENIENT DATES
   

Please specify two or more dates that would be convenient for us to do your cleaning:




   
COMMENTS?