Cleaning Service Agreement Form

Home Cleaning Service Agreement

We hope that you enjoy our service and we encourage you to provide us with any feedback.
Name*

First NameLast Name
Appointment Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
E-mail*
Square footage of home*
# of bedrooms in home
# of bathrooms in home
In the event we have to reach while you cleaning appointment is taking place what is your preferred means of contact?*
What type of service applies to you?*

First Time AppointmentOne Time AppointmentWeekly ServiceBi-weekly ServiceMonthly ServicePower Cleaning
How do we gain entrance?*

Keys with officeKeys with doormanSomeone will grant access
SPECIAL INSTRUCTIONS
Please type your full name. This will serve as your electronic signature.*
In the event that we have to temporarily or permanently change your cleaning consultant, how would you like to be notified?*

Please email mePlease call meDon't email/call, I am OK with any replacements
Should be Empty:

Home Cleaning Service Agreement