Rate Request for the Corvallis, OR Area

First Name (required)

Last Name (required)

Your Phone Number (required)

Your Email (required)

Confirm Email (required)

Do you have reliable cell service at your home?

—Please choose an option—YesNo

Have you used a Maid Service before?

YesNo

If yes, what is the reason you are no longer using them?

Your City (required)

—Please choose an option—EugeneCorvallisAlbanyLebanon

Square Footage of Home (required)

—Please choose an option—Under 500500 - 10001000 - 15001500 - 20002000 - 25002500 - 30003000 - 40004000 - 50005000 - 60006000 - 7000Over 7000

Number of Bedrooms - Please only include the number of bedrooms you want cleaned. (required)

—Please choose an option—Studio or No Bedrooms1234

If we are leaving off certain rooms, please confirm below which rooms will not be included.

Number of Full Bathrooms (required)

—Please choose an option—1234

Number of 1/2 Bathrooms

—Please choose an option—123

Number of Additional Rooms Such as Office, Family Room, Extra Living Room (Please do not include Foyer, Kitchen, 1 Dining Room, 1 Living Room as they are included in regular price)

—Please choose an option—1234

Number of People Living in Home (required)

—Please choose an option—12345678

Number of Cats in Home

—Please choose an option—123456

Number of Small Dogs (under 20 pounds)

—Please choose an option—1234

Number of Large Dogs (over 20 pounds)

—Please choose an option—1234

Other Pets

What percentage of the home is carpeted? (required)

—Please choose an option—Less than 50%More than 50%

Is the Home 1, 2 or 3 Levels? (required)

—Please choose an option—123

Handwashing Dishes ($6 per load)

—Please choose an option—12345

Laundry Folding ($6 per load)

—Please choose an option—12345

Changing Sheets ($6 per load)

—Please choose an option—12345

Sliding Glass Door Detail ($8 per set)

—Please choose an option—12345

How Did You Hear About Us? (required)

I have read and understand the Terms and Conditions. (required)

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