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New Client Data Sheet

(Please Complete and Sign)

New Client Data Sheet

Point of Contact *

Address *

City *

Postal/Zip code *

Phone *

Email *

What type of reminder would you like to receive for each service? *

Text
Email
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Please check all preferred days for cleanings (including the day we have you scheduled for)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please check your preferred times of the day for cleanings

Early Morning (7am-10am)

Late Morning (10am-12pm)

Early Afternoon (12pm-5pm)

Late Afternoon (5pm-11pm)

Late Evening/Midshift (11pm-7am)

Start Date *

Location Information

Will keys be provided? *

Yes
No
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Are There Any Do Not Touch Items?

Preference for wooden furniture dusting (If applicable)

Damp microfiber cloth

Microfiber cloth + lemon oil

Either one

Who will Provide Paper Products? *

Client

Janitroial Service (Additional Fee will apply)

Access to location (Gate Code, Alarm Code and Location, Location of Hidden Key, Other Entering Instructions) *

Special Instructions Regarding Closed Doors *

Location of Central Trash Container *

Preference for invoicing *

After each service

After each service Weekly

Monthly (Billed on 1st day of the month)

Preference for payment Option *

Online Invoice (All payments can be made directly from invoice)

Check (Take into account mail service delay...please coordinate)

ACH

Additional Information

Signature & Date *

Clear

Sign & Date

Trust in Janz, your pro cleaning hands!!!

Contact

336.208.4488

Opening Hours:

Support@janzprocleaning.com

Monday - Friday: Open 24 Hours Saturday - Sunday: 9AM - 5PM