Name *

First Name

Last Name

Phone *

(###)

###

####

How often would you like your cleanings? *

Please let us know how often you would like cleaning?

Daily

Twice per week

Weekly

Biweekly

Monthly

Other (Please specify the schedule you are looking for in the anything else section at the end of the form)

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How many offices? *

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20+

How many bathrooms? *

0

1

2

3

4

5

6

7

8

9

10+

How many kitchens? *

0

1

2

3

4

5+

How many conference rooms? *

0

1

2

3

4

5+

What is the current condition of your business?

Tidy - The business is generally clean but needs a light dusting and surface cleaning

Moderate - The business has some noticable dirt and clutter with a need for standard cleaning tasks

Messy - The business has significant dirt, dust, or clutter requiring a more thorough cleaning

Heavy Duty - The business is in need of a deep cleaning with substantial build up of dirt, dust or clutter

Preferred Time *

Hour

Minute

Second

AM PM

Preferred Start Date

If we do not have your preferred date and time available we will contact you with other openings in the date and time range you provide!

MM

DD

YYYY

What day(s) of the week would you prefer the cleaning to take place on? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

POLICY AGREEMENT (Please Read Fully) *

Deposit Policy: A 50% deposit is required to secure your booking. This deposit confirms your appointment, and the remaining balance is due upon completion of the service. Cancellation Policy: Cancellations with less than 48 hours' notice without rebooking will result in a forfeit of the deposit. No Violence Policy: We do not tolerate verbal or physical abuse. Any violence toward staff will result in the clean ending, and forfeit of the deposit. Hazardous Substances Policy: If there has been any illegal substance use and/or smoking done in the business we need to be made aware of this before the cleaning appointment so that the proper safety precautions can be taken. Failure to provide this information can result in a cancellation or postponing of the cleaning. Lock-Out Policy: If we arrive and are locked out or cannot access the business there will be a lock-out fee of 50% of the price of the cleaning if we do not hear from the client to make an arrangement. Door Policy: If any doors are closed we will not enter the room so please be sure any rooms you would like cleaned are open and any rooms you do not want to be cleaned are closed unless you have communicated otherwise with us. Late Fee Policy: If a client fails to make the payment for the cleaning on the due date there will be a late fee of $10 per day after the due date until the payment is made. Non-Compete Policy: The client agrees not to hire, engage, or directly employ any of Shim N' Shines cleaning staff during the service agreement or for a period of at least six months after termination of our service agreement.

I have fully read and agree to Shim N’ Shines policies listed above!

I do not agree.