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Service Request Form

To request an estimate from Maid to Perfection of Frederick, fill out the form below or call the office directly at 301-668-5100.

*Required fields in red
*Each checklist must have at least one box checked.*
On what day would you like us to do your in-home estimate? (Monday-Friday):
Time Preference:
Name:
Address:
City: State:  Zip:
Day Phone:
Cell Phone:
Best Time to Call You During Day:
 
E-mail Address:

Type of Service: (Please check at least one)
House Cleaning     Carpet Cleaning     Window Cleaning
Tile Floor Cleaning     Hardwood Floor Polishing
Service Frequency: (Please check one)
Weekly     Bi-Weekly     4 Weeks     Occasional     One-Time
How did you hear about Maid to Perfection®?:
Comments or Special Requests:

We don't claim we're the best, our customers do!®

ONE CALL CLEANS IT ALL!®
301-668-5100


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