To receive your free quote please enter as much information 

as possible so that we may send you a more accurate quote. 

Or call us at 631-585-2709

* Indicates required field

First Name*
Last Name*
Street Address*
Address (cont.)
City*
State*
Zip/Postal Code*
Home Phone*
Work Phone
FAX
E-mail
URL

Information about your home 

* What type of home do you have?	Please Select Apartment Cape Colonial Condo Garrison Mobile Home Raised Ranch Ranch Split Other
* How many levels? (do not including basement)	Please Select One Two Three Four Five
Please list all formal bedroom areas in this section.  It does not matter if you are using your bedrooms as guest rooms, offices, libraries, dens or as other spaces.  Do not include basement bedrooms here.
* How many Bed Rooms do you have?	Please Select One Two Three Four Five Six
* How many Bed Rooms would you like cleaned?	Please Select None One Two Three Four Five Six
* How many Bath Rooms do you have?	Please Select One One and a half Two Two and a half Three Four Five
* How many Bath Rooms would you like cleaned?	Please Select One One and a half Two Two and a half Three Four Five
* How often would you like us to clean? (If you are not sure yet, just pick one that best suits you.  You can always change the frequency of your cleanings.)	Please Select One-time One-Time Spring Cleaning Daily Weekly Bi-Weekly Monthly Move-in Service Move-out Service

*Please check all other rooms that you have

Kitchen	Living Room	Dining Room	Den
Family Room	Office	Library	Sunroom
TV Room	Great Room	Office	Game Room
Study	LR/DR Combo	Foyer	Loft

*Would you like to have all of the 'other' rooms listed above cleaned?

YES	Add comments here: or call us with questions at (631) 585-2709
No

*Do you have a finished basement that you  would like cleaned?	YES		NO
Please list types of rooms there are in the  basement to be cleaned:	One large room	Bedroom		Playroom
	Bathroom	LaundryRm		Other
*Do you  have pets?	YES		NO
*How many people reside at the location?	Please Select One Two Three Four Five Six Seven More than seven
*Are you interested in window cleaning? Please call us for window pricing.	YES		NO
How many windows do you have? List only if you are interested in receiving a price for window cleaning.
*Are you interested in carpet cleaning? Please call for carpet cleaning prices	YES		NO
What rooms need carpet cleaning? List only if you are interested in receiving a price for carpet cleaning.

 

Please list any other rooms that you would like cleaned and/or any areas you would like us to concentrate on.  

Important! When you receive your quote, it will include pricing for your General Cleaning Service in addition to what you specify below. If you want a quote on only what you specify below, please include that in your message.

Additional information:  Each of our clients homes are different, and expect slightly different things from their cleaning service.  In this section Cinderella asks you to tell us about any past grievances from other cleaning services that you may have tried, as well as any pet peeves you have so that we may include them in your notes.  

     In our efforts to provide superior service, tailored to your specific needs and desires, we ask you to provide us with any additional information that may help us render you the best possible care in creating a service work schedule that will fit your lifestyle. (this section does not affect your pricing schedule)

 How did hear about us?          Please Select Search Engine Broadcaster Yankee Trader Huntington Pennysaver Referral Other

NOTE:  This form is for your free estimate, which will be sent to you by mail.  When you receive your information packet, call us to book your appointment or ask us any questions you may have.  If you would like to speak with a Home Cleaning Consultant call (631) 585-2709