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Business

Address

City

State

Name

Phone

Time Of Service:

Mornings Afternoons Evenings

Days Of Service:

M T W Th F Sat Sun

Number Of Stories

Number Of People In Office

Number Of Offices:

1st

2nd

3rd

4th

Floor Type

Number Of Cubicles:

1st

2nd

3rd

4th

Floor Type

Number Of Break Rooms:

1st

2nd

3rd

4th

Floor Type

Number Of Restrooms:

1st

2nd

3rd

4th

Floor Type

Showrooms / Warehouse?

Floor Type

Areas Not Serviced

Present Cleaning Service:

In House Contractor

Contractor Is Responsible For Emptying Recycling Containers?

Yes No

Hand Towels?

Yes No

Toilet Paper?

Yes No

Hand Soap?

Yes No

Facial Tissue?

Yes No

Toilet Seat Covers?

Yes No

Tampon / Pad?

Yes No


Additional Services:


Window Washing Inside

Frequency:

Window Washing Outside

Frequency:

Office Glass / Interior

Frequency:

Strip / Wax Floors

Frequency:

Restore / Buff Floors

Frequency:

Scrub Tile Floors

Frequency:

Number Of
Exterior Windows:

1st Floor:

2nd Floor:

3rd Floor:

4th Floor:

Grand Total Windows:

Special Notes / Requests

Estimated Time To Clean: