Name (first&last)

Email Address

Phone number

Mobile Phone Number

Full Address

Please select type of service -- Please select type of service --Residential / Home CleaningCommercial / Office CleaningOther

Please Specify

Which type of cleaning service would you like? Which type of cleaning service would you like? Home Cleaning Move In/Out Cleaning Renovation Cleaning Cottage Cleaning

Your type of building or space? -- Your type of building or space? --HouseAppartmentCondoTownhouseDuplexOther

Home, Room, or Building Size (if applicible) -- Home, Room, or Building Size (if applicible) --Under 1000 Sq.Ft1001 - 15000 Sq.Ft1501 - 2000 Sq.Ft2001 - 2500 Sq.Ft2501 - 3000 Sq.Ft3001 - 3500 Sq.Ft3501 - 4000 Sq.FtOver 4000 Sq.FtNot sure / Other

Number of bedrooms -- Number of bedrooms --0123456Other

Number of bathrooms -- Number of bathrooms --0123456Other

How often would you like cleaning done for you? -- How often would you like cleaning done for you? --WeeklyBy-weeklyMonthlyOne-timeOther

Would you like a free on-site consultation? Would you like a free on-site consultation? Yes No Maybe

Do you have any questions or comments?

Have you used Spar-Clean Inc before? Have you used Spar-Clean Inc before? Yes No

We'd like to know how you found out about Spar-Clean Inc! We'd like to know how you found out about Spar-Clean Inc! Web search i.e Google Social media Online ad Newspaper / Flyer ad The Spar-Clean car Local event Referal by someone Other