Name (first&last)

Email Address

Phone number

Mobile Phone Number

Full Address

Please select type of service Please select type of serviceResidential / 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 bedrooms0123456Other

Number of bathrooms Number of bathrooms0123456Other

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