Contact Form

Office Cleaning Services

By

iClean Banner

To receive a quote for janitorial services for your company, simply fill out the form below.
It's in your best interest to include as much information as possible so that we may provide
you with an accurate estimate.

Note: This is a preliminary janitorial service request. Our final quote will be presented
to you upon inspection of the actual facility.

*Person to contact:		Company name:
Address:		City
*Phone:		*E-mail:
Areas to be cleaned:
a Lobby		How many:
b Offices/Rooms		How many:
c Desks		How many:
d Trash Cans		How many:
e Computers		How many:
f Tables		How many:


g Restrooms		How many:
h Paper Towel Dispensers		How many:
i Toilet Tissue Dispensers		How many:
j Mirrors		How many:
k Toilets		How many:
l Urnals		How many:
m Sinks		How many:
n Bathroom Partitions (Count Each Side As One)		How many:


o Lunch Area		How many:
p Coffee Area		How many:
q Windows		How many:
r Conference Rooms		How many:

s Total square footage required to clean:
Cleaning services required:
t Dusting		x Wet Mopping
u Vacuuming		y Waxing
v Trash removal		z Desk detail
w Dust Mopping
Type of janitorial service requested:
Days Per Week	How many:
How did you hear about us?

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