How did you hear about us? ----- Google Search Facebook Referral Returning Client Other

Is this a home or business establishment? ----- Residential Home Apartment/Condo Business/Office Other

Approximate Square Footage ----- Under 1,000 sq ft 1,000–2,000 sq ft 2,000–3,000 sq ft 3,000+ sq ft Not sure

Number of Bedrooms 0 1 2 3 4 5 6+

Number of Bathrooms 0 1 2 3 4 5 6+

Cleaning Details Select Option Standard Cleaning Deep Cleaning Recurring Service Post-Construction Not Sure

Level of Cleaning Select Option Light Maintenance Standard Deep Intensive

Special Requests Select Option Inside Oven Inside Refrigerator Laundry Assistance Organization Help Pet Hair Treatment None

When would you like service to start?

May our housekeeper take before and after photos for advertising purposes? ----- Yes No

Do you know any veterans or surviving spouses who need in-home care but cannot afford it? ----- Yes No

I consent to receive calls and text messages from Royal VIP Luxury Cleaning LLC regarding my service request. Message and data rates may apply.
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Required if texting clients.
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