Online Estimate Form

*Required Fields

Business Name

Contact Name

*Address Were Service Will Be Provided

*Telephone *Email

Preferred Method of Contact In Person Telephone Email Mail Best Time To Call Anytime AM PM Do Not Call Time/Date

Commercial   Residential

Measurements of Building Or Sq. Feet of Office

Total Carpeted Sq. Feet     Total Tiled Sq. Feet

Number of Buildings 1 2 3 4 5 6 7 8 9 10 + Number of Floor Levels 1 2 3 4 5+ Stairs 0 1 2 3 4 5+ Elevators 0 1 2 3 4 5+ Escalators 0 1 2 3 4 5+

Number of Restrooms 1 2 3 4 5 6 7 8 9 10+ Number of Sinks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30+ Number of Toilets 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30+ Number of Urinals 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30+

Number of Exam Rooms 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30+           Number of Workstations 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30+

Frequency of Cleaning: 1 Time Per Week 2 Times Per Week 3 Times Per Week 4 Times Per Week 5 Times Per Week 6 Times Per Week 7 Times Per Week Every Other Week Twice A Month Once A Month

Clean/Disinfect workstations telephone's, vacuum computer monitors, cases &  keyboards Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually

Days of Week Service Will Be Provided:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What Hours Can Service Be Provided?:
Anytime After Normal Business Hours
Other

Windows included in quote?

Number of Exterior Windows Measurements of Windows Type of Cleaning Inside/Outside Outside Only Inside Only     Other Glass

Carpet Care included in quote?

Extracting   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually   Dry Compound Cleaning   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually

Bonnet Cleaning   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually    Spot & Stain Removal   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually

Deodorizing   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually   Disinfecting/Sanitizing   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually

Floor Care included in quote?  

Strip & Wax   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually     

Scrub & Refinish   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually

 High Speed Buffing/Burnishing   Frequency On Request Daily Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Bi-Quarterly Annually

Who will provide paper products such as supplies used and consumed in restrooms.
Such as hand soap, towels, toilet tissue, etc. Contractor (billed on monthly invoice) Customer (we will give you 1-2 weeks notice when supplies are low) Billed & shipped directly to customer

Special Instructions or Additional Information

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