Please fill out this form and a PureClean® representative
will get back to you within 12 hrs.

What type of cleaning appointment do you need?

One-Time Cleaning 

Regular Maintenance Cleaning 

What day of the week would you like us to arrive?

I would like you to arrive on 

Tell us about your home:

How many bedrooms or offices are there? 

How many bathrooms are there? 

What is the approximate square footage of your home or office? 

How many levels do you have? 

Do you have hard surfaces like hardwood and tile? 

Please select the type of residents in your home or office:

Adults  Children  Pets

Do you have any special requests?

Oven inside cleaned 

Fridge inside cleaned 

Windows inside cleaned 

Cabinets and closets insides cleaned 

Marks on walls and baseboards cleaned 

Linen changed  - How many beds? 

Balconies swept  - How many balconies? 

Any additional details?

Email Address



Phone Number