Schedule your first cleaning: Dirt Busters House Cleaning

If you have not had an in-home visit by a client representative, please go to "Free Estimates" first.

Type of cleaning:

Requested date to start service**:

Please confirm quoted price for first cleaning: $ .00

How often would you like us to visit?

Quoted price for the above frequency: $ .00

Please confirm your second cleaning date as it relates to the requested first cleaning date and the above frequency**:

Is it okay if we arrive between 9:00AM and 4:00PM?

Yes, anytime is fine
Yes, but I would like a 4 hour window the day before
Yes, but I would like a 2 hour window the morning of the cleaning
No, we have specific needs to work around

Special instructions for pets: (Ex. Large dog in backyard, cats may run out):

How will we gain entry***

Will your alarm be "OFF" the day of cleaning?

Yes
No
I don't have an alarm

How would you like to take care of the payment?

Cash or check left on the kitchen counter.
Automatic payment after each visit made by credit or debit card.***

Additional details or comments:

First Name	*
Last Name	*
Home Phone	*
Mobile Phone	*
Work Phone	*
Email	*

Street Address:
*

City
*

Zipcode:
*

We will give you a call to discuss and confirm dates and gather a few additional details.

*required

**Thursdays and Fridays are usually full and are not flexible enough to add every 3 or 4 week frequencies. Also, scheduling a Thursday or Friday may take time. Often times, we will need to add you to our waiting list. Requested dates will often be used as a guide when scheduling.

*** Details of entry will be dicussed by phone, such as codes to the garage, where a key is hidden, etc. Also, sensitive credit card information will be handled by phone


Northwest Office Dirt Busters House Cleaning, Inc. dba Dirt Busters House Cleaning Office:623-977-6725 Fax: 623-977-6825 email@dirtbusters.info	Northcentral Office GNS Enterprises, Inc. dba Dirt Busters House Cleaning Office:602-404-8675 Fax: 602-404-2760 email@dirtbustersonline.com
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