Day Care Facility Cleaning Request Form Question Title * 1. Contact Information Name of Contact Person/Decision Maker Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK Question Title * 2. Please indicate a good date and time within 2 business days from the time you submitted this form that we may contact you to schedule your On-Site Property Walk Through. Date / Time Date Time AM/PM - AM PM OK Question Title * 3. Please select the number of classrooms your facility has and the frequency in which you need your facility cleaned. One-Time Monthly Bi-Weekly (Every 2 Weeks) Weekly 1-2 Classooms 1-2 Classooms One-Time 1-2 Classooms Monthly 1-2 Classooms Bi-Weekly (Every 2 Weeks) 1-2 Classooms Weekly 3-4 Classrooms 3-4 Classrooms One-Time 3-4 Classrooms Monthly 3-4 Classrooms Bi-Weekly (Every 2 Weeks) 3-4 Classrooms Weekly 5-6 Classrooms 5-6 Classrooms One-Time 5-6 Classrooms Monthly 5-6 Classrooms Bi-Weekly (Every 2 Weeks) 5-6 Classrooms Weekly 7-8 Classrooms (additional classrooms after 8) $20 per classrooms 7-8 Classrooms (additional classrooms after 8) $20 per classrooms One-Time 7-8 Classrooms (additional classrooms after 8) $20 per classrooms Monthly 7-8 Classrooms (additional classrooms after 8) $20 per classrooms Bi-Weekly (Every 2 Weeks) 7-8 Classrooms (additional classrooms after 8) $20 per classrooms Weekly OK Day Care Facility Cleaning Price List1-2 Classrooms One-Time: $120.00 Monthly: $80.00 Bi-Weekly: $ 60.00 Weekly: $ 50.003-4 Classrooms One-Time: $250.00 Monthly: $190.00 Bi-Weekly: $ 170.00 Weekly: $ 150.005-6 Classrooms One-Time: $350.00 Monthly: $240.00 Bi-Weekly: $ 220.00 Weekly: $ 200.007-8 Classrooms One-Time: $450.00 Monthly: $390.00 Bi-Weekly: $ 370.00 Weekly: $ 350.00Each Additional classroom after 8 classrooms in $20.00 per classroom OK Next Steps1. A scheduling coordinator will be contacting you to schedule your on-site walk-through of the property to ensure that we provide superior service and an efficient plan for our scope of work. 2. Once your cleaning date(s) has been scheduled. We will dispatch a cleaning team to perform the cleaning request.3. We email you an invoice that contains the secured link to make your payment, once the cleaning technician arrives.THANK YOU FOR ENTRUSTING US TO BRIGHTEN YOUR DAYCARE FACILITY! OK SUBMIT MY REQUEST AND HAVE A SCHEDULING COORDINATOR CONTACT ME.