Mr/Ms:
Mr.
Ms.

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OPTIONAL INFORMATION PLEASE: (If you have the time)

What type of floor covering do you need cleaned?
 Plush Carpet Berber Carpet Frieze Carpet Other Carpet Area Rugs

Approximate size of each area rug?
Please enter the size of each rug

How Old Are Your Floor Coverings?

What type of problems are you having with your floor? (Check all that apply)
 Pet Odors Pet Stains Other Odors Dirty Traffic Lanes Drink Spills
 Grease and Oils General Dirt Kool-Aid Coffee/Tea Rust Paint
 Make-up Ink Bleach Dye

How Long Since Your Last Cleaning?

Which rooms do you want cleaned?
 Living Room Dining Room Family Room Bed Room Hallways Other

Do you need fabric or leather upholstered furniture cleaned?
 Fabric Leather No furniture at this time

What type of fabric or leather do you need cleaned?
 Sectional Sofa Regular Sofa Love Seat
 Overstuffed Chair Recliner Small Chair Other

Any additional comments or specific questions