Online Estimate Request Form

Please fill out this Estimate Request Form for an estimate from The Maids Home Services. We will process this request during the next business day and then contact you.

In order to help us give you the most accurate estimate, please fill out all of the fields to the best of your knowledge.

* Designates a required field

* Name:
Street Address:
City:
State:
* Zip:
* Daytime Voice Phone Number & Area Code:
Evening Phone Number & Area Code:
Cellular Phone Number & Area Code:
* E-Mail Address:
What kind of home do you wish to have cleaned?				Select One Please House Apartment Condo Duplex Townhouse
What is the approx. square footage of your home?
How many people live in your home?
Do you have pets? How many?
How many of the following rooms do you have in your home?
Bedrooms:	Select 0 1 2 3 4 5	Bathrooms:	Select 0 1 2 3 4 5	Livingroom:	Select 0 1 2 3 4 5
Kitchen:	Select 0 1 2 3 4 5	Den/Study:	Select 0 1 2 3 4 5	Family Room:	Select 0 1 2 3 4 5
Dining Room:	Select 0 1 2 3 4 5	Dinette:	Select 0 1 2 4 4 5	Laundry:	Select 0 1 2 3 4 5
Rec Room:	Select 0 1 2 3 4 5	Entry Hall:	Select 0 1 2 3 4 5	Sun Porch:	Select 0 1 2 3 4 5
Stairs:	Select 0 1 2 3 4 5	Office:	Select 0 1 2 3 4 5
Other rooms:				Select 0 1 2 3 4 5
How often do you wish to have services?				Select One Please Every Week Every Other Week Every Four Weeks Seasonal Monthly
If other, please explain:
How did you hear about us?				Select One Please Internet Car Newspaper Word of Mouth Radio TV Direct Mail Yellow Pages Other
What is your number 1 reason for looking for a cleaning service?
Please share any other comments you may have with us:

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