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Name

First Name

Last Name

Email

Phone

(###)

###

####

What services are you interested in?

Commercial Building Cleaning

Residential Home Cleaning

Office Cleaning

Rental Turnover / Airbnb Cleaning

Janitorial Services

Move-in / Move-out Cleaning

Retail / Storefront Cleaning

Other

When should we do your first cleaning?

Give exact time, date, and location.

MM

DD

YYYY

How often do you need this service?

How did you hear about us?

Please include in this box:

Type of cleaning? When do you want it cleaned, give exact date, time, and location? How much square feet is the home/building? How often do you want it cleaned? How can we enter the building, please be specific? (lock code, key, front desk, etc.) Will anyone be in the building while we clean? Type of building, house, apartment/condo, office/commercial space, move-in/move-out, Airbnb/Vacation rental, other. Are pets present? Any areas that need special attention? Any hazards, clutter, or sensitive areas we should know about? Is there anything you DO NOT want us to clean/touch?

I agree to Lana’s Cleaning's Terms of Service, Privacy Policy, and understand that submitting this form does not guarantee a booking until confirmed.

Open a new window with our website and click on "Policies" on the top navigation bar on the website and read through the Terms of Service and Privacy Policy

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