Maid 2 Kleen Online Request

Email address

First Name	Last Name

Address	City

State	Zip

Major Cross Streets	Home Phone

Cell Phone	Cell Phone Provider (for e-mail)

Fax	Date & Time Desired

How did you hear about us ?	Frequency/Type of Cleaning

Type of Location	Size (Approx.)

# of Bedrooms	# of Bathrooms

Condition of property	Type of floor(s)

# of Children	# and Types of Pets

Additional Information

* We use 3rd party advertising to subsidize this portion of our website

$10.00 off the first cleaning if you contact us within 24 hours of our sending the quote.

10% off your 3rd cleaning
15% off your 5th cleaning
We will have a monthly "raffle" of names from our regular customer base for 50% off the winners next cleaning (to be posted on the website and emailed to the winner).
We will have Holiday raffles throughout the year, of names from our regular customer base, for a free home cleaning (to be posted on the website and emailed to the winner).
We also offer our customers 10% off one home cleaning per each of their referrals that use us.

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