1. What is the type of facility?  Apartments Auto Dealership Bank Bar Bowling Alley Church Country Club Day Care Dialysis Center Fitness Center Hotel and Conference Center Medical Facilities Movie Theatre Office - General Office - Medical Office - Multi-Tenant Municipality Restaurant Retail Salon School *
2. How many times a week will your facility require service? 1x per month 2x per month 1x per week 2x per week 3x per week 4x per week 5x per week 6x per week 7x per week   *         
3. What is your facility's approximate size in square feet?  *
         If you do not know the square feet then you can generally estimate a fully staffed office at 250 square feet per person.
4. How many of the following fixtures does your facility contain? A fixture is a toilet, urinal and sink. *
5. Is the area to be cleaned crowded, average or sparsely occupied? Crowded Average Sparsely Occupied *
6. How many people visit your facility on a daily basis? A lot Some *
7. Approximate percentage of your building that is tile versus carpet? > 75% > 50% > 25% < 25% *
8. City, State and Zip that you are requesting service from:  
      City       State   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming       Zip Code   
9. Email address: 
   (We will not share your email address with other people or nonaffiliated companies.)

    * input is required