Eco-Care Professional
House Cleaning


Mon-Fri 8:00am - 4:30pm
Phone: 408-778-8445
Fax: 408-778-8433















Home Cleaning > Free Estimate

Once you submit the form, we will contact you to discuss your housecleaning needs, and perhaps provide you an estimate.

 

* indicates a required field

Your Contact Information

First Name:
*
Last Name:
*
Business Name:
Address:
*
City:
*
Zip:
*
 
Primary Phone:
*
Secondary Phone:
Email:
*
We respect your privacy and will not share your email
   
Newsletter:
Yes (includes tips on home cleaning!)
No
How did you hear about us?:
   

About Your Home

How many of the following types of rooms does your home have?
Bedrooms
Full Bathrooms
Half Bathrooms
Kitchen
Dining Room
Living Room
Office
Family Room
Laundry Room
Foyer
Hallway
Staircase
Other Rooms (rec room, etc.)
   
Number of Dogs:
Number of Cats:
 
Home Square Footage:
How Clean Is the Home?:

Rate the cleanliness of your home if
1 = extremely clean and
5 = extremely dirty
   
Type of Service Needed:
1-time deep clean
1-time moving service
Regular service after an initial deep clean
   
Frequency of Cleaning:
Please clean my home
Every   1   2   4     weeks
   
Additional Comments or Notes?:
 
Security Code:
*
 
 

 

Copyright © 2014, Eco Care House Cleaning, South Bay, CA
Mon-Fri 8:00am - 4:30pm, Phone: 408-778-8445, Fax: 408-778-8433