New Client Form Name * First Name Last Name Location * Alberta Manitoba Email Address * Phone Number * (###) ### #### Preferred Contact Method * Phone Call Text Message Email Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Client Birth Date * MM DD YYYY Cleaning Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Type of Cleaning * Residential Commercial Occurance * Weekly Cleans Bi-Weekly Cleans Monthly Cleans Occasional Cleans One-Time Clean Required Cleaning * Standard Move In/Out New Construction Vacation Rental Cleaning Required - Notes What Days Work For You? * Monday Tuesday Wednesday Thursday Friday Saturday Key/Code * Pet Information Preferred Start Date * MM DD YYYY How did you hear about us? * Word of Mouth Google Vehicle Decal Website Facebook Instagram Event Comments + Concerns Promo Code Do you have a Promo Code? Payment Options Simplys Spotless Accepts Visa, Mastercard, Cheque, and E-transfer. Etransfer email: accounts@simplyspotlesscleaning.ca Please make the answer to all E-Transfers 'cleaning' Cheque payable to: Simply Spotless Cleaning Company I agree to the $30 Initial sign up fee and the terms listed. * A ONE-TIME $30 start up fee will be added to your first invoice. It covers our secure scheduling and information programs as well as protects your credit card number, reminders of cleans and secured notes and codes. **Credit Card information must be collected before the client has their first clean.** I Agree If you need to cancel your clean, we require 24 hours notice minimum. * If 24 hours notice is not given, we will charge a $50 cancellation fee. I Understand Thank you! We will be in touch with you soon.
