A Higher Standard Of CLEAN! ®
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Copyright © 2008 Pristine Maids, LLC All Rights Reserved.
Independently owned and operated not a franchise. 299 S MAIN ST #13 CRESTVIEW, FL 32536
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Deluxe House Cleaning
Complete Form Below - A Quote Will Be Provided Within An Hour!
Type of home:
Service Type:
Request Day *
Current Provider:
Hear about us"
# Bathrooms
 # Bedrooms:
Cleaning package:
 Sq Feet:
First Name:*
Last Name:*
Street Address*
City:*
ZIP Code:*
Email*
Phone Number:*
Do Windows Require Cleaning?
Yes
No
How many windows need cleaning
Please tell us about additional cleaning needed.
Carpet cleaning
Upholstery cleaning
Area Rug Cleaning
Tile and Grout Cleaning
Lite Stains
Heavy Stains
Do any of the carpets have pet urine stains?
Do any of the carpets have red juice stains?
Is the water still on at the location?
Is the power still on at the location?
How will we get in to clean?
Best Time to contact you*
Additional comments:
Congratulation on taking the 1st step to a
clean home.
You've had the opportunity to review all of
our cleaning packages and now you are ready
to begin enjoying more free time for yourself
or with your family.

Simply complete the form below and one of
our representatives will contact you almost
immediately to schedule your service!
Our services begin with an initial
cleaning to bring your home up to
Pristine Maids standards for recurring
services. If you are a new client or just
want a one time cleaning it will begin
here
* Please make sure there is running
water and power on at the service
location.
You will be required to give a credit card
to schedule your appointment. There
will be a $2 processing fee billed to
verify your credit card is valid. The $2
will be deducted from your final cleaning
cost.

All credit cards users must provide us
with a credit card authorization form.
This form will be emailed to you so you
can e-sign the form.
cleaning service