PERSONAL INFORMATION

First Name

Last Name

Phone Number

Email Address

Street Address

City

Postal Code

Rate Your Space: Rate Your Space: University Dorm Clean/Tidy Super Clean

Do you have pets? Do you have pets?YesNo

SERVICES

Extras: Extras: Inside Oven Inside Fridge

Type of Service Type of ServiceFirst TimeConsistent CleaningSeasonal CleaningDeep CleaningMove In/ Move OutPre-sale/ Post Construction

Cleaning Products Cleaning ProductsUse mineBring everything for meBring everything for me (eco-friendly ONLY)

ADDITIONAL INFORMATION

Will you be home during the cleaning? Will you be home during the cleaning?YesNo (We will call you to arrange the details)

Please provide parking instructions ie: Visitor parking/ Park in driveway/ Street Parking

When would you like us to come and clean? (Date)

PAYMENT OPTIONS

Select your payment choice Select your payment choiceVisa - When we call to confirm your appointment, a hold will be placed on your card and only charged after the cleaning is completed.Mastercard - When we call to confirm your appointment, a hold will be placed on your card and only charged after the cleaning is completed.Cash - To be left for cleaning specialistCheque - To be left for cleaning specialistE-Transfer - When we call to confirm your appointment, please send us an e-transfer to info@northcleaning.ca. The payment will only be accepted upon completion of the cleaning.