Client Information & Estimate Form
Date:
* indicates required fields
*Client Name:
*Billing Address:
*Service Address:
City, State, Zip:
City, State, Zip:
Home Phone #:
Billing Method
Work Phone #:
Check at time of service
Cell Phone #:
Pay with Credit Card
Fax #:
Mail Invoice
Email Address:
Fax Invoice
Contact Name:
Email Invoice
How did you hear about us?
I'll mail a check
Services to be performed:
Frequency of Service:
House Cleaning
Carpet Cleaning
Errand Services
Daily Until Done
Commercial Janitorial
Carpet Odor Removal
Concierge Services
Every Week
Window Washing
Spot Treatment
Pet Sitting
Every 2 Weeks
Move Out Cleaning
Floor Strip & Wax
Other
Every 3 Weeks
Construct Cleaning
Tile & Grout
Every 4 Weeks
Pressure Washing
Other
Rate for Service 1: $
X Hours or Bid
= $
1st Service Date:
Team to Arrive Between:
&
Team Done by:
2nd Service Date:
Team to Arrive Between:
&
Team Done by:
Ongoing Service:
Team to Arrive Between:
&
Team Done by:
Rate for Service 2: $
X Hours or Bid
= $
1st Service Date:
Team to Arrive Between:
&
Team Done by:
2nd Service Date:
Team to Arrive Between:
&
Team Done by:
Ongoing Service:
Team to Arrive Between:
&
Team Done by:
Rate for Service 3: $
X Hours or Bid
= $
1st Service Date:
Team to Arrive Between:
&
Team Done by:
2nd Service Date:
Team to Arrive Between:
&
Team Done by:
Ongoing Service:
Team to Arrive Between:
&
Team Done by:
IICRC Certified Hot Water Extraction Carpet Cleaning
Per Room
# of Rooms
X $35
= $
Hallway
# of Hallways
X $12
= $
Steps
# of Steps
X $2.50
= $
Odor Treatment
Per Room
# of Rooms
X $28
= $
Hallway
# of Hallways
X $12
= $
Steps
# of Steps
X $2.50
= $
Spot Removal
If spots do not come out with Regular cleaning, do we have permission to add spot remover to the surface?
Yes
No
Floor Stripping and Waxing
Per Room
# of Rooms
X $30
= $
Hallway
# of Hallways
X $10
= $
Steps
# of Steps
X $3.00
= $
Tile & Grout Cleaning
Floors (Per Sq Ft)
Sq Footage
X $0.40
= $
Countertops
Sq Footage
X $0.40
= $
Shower Enclosure
Regular
X $86
= $
Shower Enclosure
Medium
X $130
= $
Shower Enclosure
Large
X $175
= $
Pressure Washing
Floors (Per Sq Ft)
Sq Footage
X $0.40
= $
Countertops
Sq Footage
X $0.40
= $
Shower Enclosure
Regular
X $86
= $
Shower Enclosure
Medium
X $130
= $
Shower Enclosure
Large
X $175
= $
Hardwood By Physical Quote Only
Floors (Per Sq Ft)
Sq Footage
X $0.40
= $
Salesperson:
Description of your work:
Referral Fee:
Retention Bonus:
To Whom:
Address/E-mail
Paid Date:
Disclaimer Mailed?