Name *

First Name

Last Name

Phone

(###)

###

####

Extras

Oven Deep Clean (Inside) – $20

Fridge Deep Clean (Inside) – $20

Wash Dishes by Hand (Depends on amount)

Fold Clothes (Depends on amount)

Clean Windows (Outside) – $10 per window

Basement Cleaning

Preferred Date *

MM

DD

YYYY

Preferred Time

Hour

Minute

Second

AM PM