carpet and upholstery-intake

Carpet and Upholstery Intake Form

Please fill out the items below so we can be prepared to offer you our best services.

Name *

City and State *

Phone

Email address *

Brief description of your carpet or upholstered furniture that you are needing cleaned. (stains,fabric,leather etc.) *

If you are needing your carpet cleaned what is the square footage of the room(s)? *

What method of payment will you be using? *

CASH
CASH APP
ZELLE
CARD