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Maid Deal Redemption
Thank you for your purchase! We look forward to being your cleaning service provider. Please fill out the form below. We will be in contact with you within 4 business days to complete the scheduling. To contact us, please call 703-334-6243 or email us at help@ecosavemaids.com
First Name
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Last Name
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Address (Please list where you want maid service):
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Apt/Unit #:
City
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State
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Zip Code
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Cellular: (We may text confirmations) (123-456-7890)
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Work/Home: (if different from cell) (123-456-7890)
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Email Address: (We will send email confirmation from a no-reply, please note AOL, MSN users may have difficulty receiving emails)
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Please list the deal provider. (eg: LivingSocial, Groupon)
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Voucher Number:
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What service is included with your voucher?
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Basic, Regular cleaning
Deep cleaning
Move/in-out cleaning
Steam, deep cleaning
How many hours if your voucher for?
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2 maid hours
3 maid hours
4 maid hours
6 maid hours
6 maid hours
How many bedrooms do you have? Please note that offices, exercise rooms, sunrooms, etc are counted equally as a bedroom.
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1
2
3
4
5
6
Other
Other
Total amount of bathrooms?
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1+
2+
3+
4+
Other
Other
Approximately how many sf is your home?
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701 sf - 1000 sf
1001 sf - 1700 sf
1701 sf - 2500 sf
2501 sf - 3000 sf
3001 sf - 4000 sf
4001 sf +
When was the last time your home was cleaned, by either yourself or a professional company?
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Less than 2 weeks
2 weeks - 4 weeks
2+ Months
6+ Months
If you like our services, would you like to sign on for regular, continued service at a custom discounted rate?
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No, Thanks.
Weekly
Every other week (Bi-weekly)
Every 3 weeks
Monthly
Would you like to add additional services?
$25 - Inside Refrigerator
$25 - Inside Oven Cleaning
$40 - Fridge/Oven Combo
$30 - Pet Hair Removal
$30 - per level (max. 400 sf)
$55- per level (max. 1000 sf)
$5 - per window (interior only)
$0 - No Thank You.
Check all that applies
$25 - Inside Refrigerator
$25 - Inside Oven Cleaning
$40 - Fridge/Oven Combo
$30 - Pet Hair Removal
$30 - per level (max. 400 sf)
$55- per level (max. 1000 sf)
$5 - per window (interior only)
$0 - No Thank You.
Will you be home? If you will not be home, how will we gain entrance to your home. Please provide detailed instructions.
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0/255 characters
What areas of your home would you like for us to focus in? Please let us know your cleaning preferences and what your cleaning priorities are. Every home owner's idea of clean varies, we would like to individualize your cleaning experience. Please list your cleaning needs in order of preference. (Eg: 1. Focus on bathrooms, and bathroom floors, 2. Change my bed linens, 3. Kitchen counters need special attention)
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What days would you like to have service. Please list several good days that would suit you best. *Please allow for a 2 hour window for time of arrival for your technicians in the event of unexpected delays.
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How would you like to complete the scheduling process?
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Telephone, please call me
Email is great, please email me (Fastest response)
I will call you at when I am ready to book.
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