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Please indicate the type of service you are seeking:    . Business Name* Contact Name* Address* City* State* Zip* Phone* Email* Type of Business* . WHAT TYPE OF SERVICE ARE YOU INTERESTED IN?  Daily Cleaning Service Bi-Weekly Cleaning Service Monthly Cleaning Service Periodic Cleaning Service . SPECIFY IF WINDOW CLEANING SERVICE IS NEEDED Window Cleaning? High Entrance Glass Exterior .                GENERAL INFORMATION ABOUT YOUR OFFICE Square Footage: * No. Of Floors: *   No. Of Elevators: * No. Of Entrances: *   No. Of Restrooms: * No. Of Staircases: *   No. Of Escalators: * .                  SUPPLIES AND EQUIPMENT ARRANGEMENTS   Include in our price for paper and plastic products for the bathrooms? Yes No Dollar amount of paper and plastic consumption Equipment (vacuum cleaner, maid carts, mop bucket/wringers, etc.) Yours Ours Please specify: . ADDITIONAL COMMENTS:

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