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Intake form
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Name
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Email address
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What service are you interested in?
Please select at least one option.
Pressure Washing
Moss Removal
Trash Bin Cleaning
Leaf Blowing
What is the size of the area to be cleaned?
Select
Small (up to 500 sq ft)
Medium (500 - 1500 sq ft)
Large (over 1500 sq ft)
What is the condition of the area to be cleaned?
Select
Lightly soiled
Moderately soiled
Heavily soiled
Do you require a one-time service or regular scheduled service?
Select
One-time service
Regular scheduled service
What is your preferred date for service?
Do you have any specific instructions or concerns?
Are you a senior or a family member requesting service?
Select
Yes
No
Which service or services are you interested in?
Please select at least one option.
Pressure washing
Moss removal
Trash bin cleaning
Leaf Blowing
Additional questions or comments
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