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Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is most important to you? *

Fast Clean / Team of Two

Detail Cleaning

Tidying & Housekeeping

How many bedrooms do you have? *

1

2

3

4

5 or more

How many bathrooms do you have? *

1

2

3

4

5 or more

Service *

Weekly Clean

Fortnightly Clean

Once Off Clean

Spring Clean

Airbnb Clean

Commercial Clean

Exterior Clean

End of Lease (please include desired clean date/s)

Pre-Move In Clean

Return From Travel

NDIS or DVA Clean

Preferred Day/s

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you have any pets?

Yes

No

Do you have a vacuum and mop within the property we can utilise? *

Yes

No

Please confirm you have read and accept our terms of service *

Yes, I have read and accept the terms for engagement, including the cancellation policy.

Please note you will receive a personalised link prior to your service from Pinch Payments whereby you can setup your direct debit/cc payment. *

No service will commence without this form completed. Please note, no payment will be taken until AFTER service has been completed.

Yes, I understand I need to complete direct debit/cc pre service

Payment Fees *

** Please note there is a surcharge added onto the bill of 30c/transaction plus 1% for direct debit from a bank account (capped at $5) and 1.95% for credit and debit cards (3.3% for AMEX).

Understood