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858-689-4191 Locally Owned and Operated
Maids Service Request Form
Please fill out the information below:
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Requested Date of Service
*
+
Morning
7 am
9 am
11 am
Afternoon
1 pm
3 pm
5 pm
Maid Preference
*
1 maid
2 maids
First Available
Size of House
*
Up to 1400 Sq Ft
1401-1800 Sq Ft
1801-2800 Sq Ft
2801-3300 Sq Ft
3301-3800 Sq Ft
3801-4500 Sq Ft
Extra Services
Dishes
Blinds
Make Beds
Oven
Refridgerator
Baseboards
Inside Windows
Garage
Windowsills
Dust Wallhangings
Cobweb Removal
Inside Cabinets
Current Total:
$0.00
Calculate
We do require a credit card to reserve your appointment, however, we will not charge your card until after we have spoken to you to confirm your appointment and verified the price of your service.
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Discover
Credit Card Number
Expiration Date (mm/yy)
Voucher Number? Or Notes to us?
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