Service Request or Inquiry Form
A General Contact Telephone Number Will Appear on the Confirmation
(If the fields disappear from your screen, scroll window slowly up/down)

This is: A Definite Order and agreement to pay. A Request for Information or contact

Service is needed: Date: and then
Referred By:

Your E-mail address: ** Check this carefully!!
Your Name:
Address (or nearest cross streets) of job: (include floor/apt #)
Nearest Subway or Bus (Line/Stop):
Zip Code (if known):

Your Phone(s): If possible, include eve/wknd/cell #)
The (first) number is at
Best time to call is:


Job is at a:

Square Feet (sq meter has 10 sq ft): (Important, please estimate size)

Bedrooms:
Bathrooms:
Laundry:

Elevator:
People present during work (who, include age range):

Animals to be present (describe, include temperament):


Please describe what you will need, and how often

Note: If you submit a definite order, your email becomes a contract in which you agree to pay for the services provided. Payment is due no later than the time of service

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