Dorm Cleaning Service Agreement
Provide your name and student ID along with your roomate's.
Room Number
Appointment Date
*
-
Month
-
Day
Year
Date Picker Icon
Phone
*
-
Area Code
Phone Number
E-mail
*
What type of service applies to you?
First Time
One Time
Weekly
Bi-weekly
Monthly
SPECIAL INSTRUCTIONS
Please upload a file of the current state of your dorm room and we will attach a photo of the final result to keep in your record.
Browse Files
Cancel
of
Payment
prev
next
( X )
Service Fee
$
30.00
Total
$
0.00
Credit/Debit Card
Please type your full name. This will serve as your electronic signature.
*
Submit Form
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