Quote Form | Simpson Premier Cleaning LLC

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Simpson Premier Cleaning

Contact Information

First name

Last name

Company or Facility Name

Service Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Type of Facility/Business

Phone

Preferred Method of Contact

Phone

Best Time to Reach you

Morning

Afternoon

Evening

Flexible

About Your Space/Cleaning Preferences

Approximate cleanable square footage

Number of Floors

Number of Restrooms

Number of break rooms or kitchenettes

Approximate number of trash and recycling bins

Current condition: If entire property has one condition, “Select one.” If property varies, “Select all that apply.”

When was it last professionally cleaned?(If known)

Flooring Types(Select all that apply)

Carpet

Hard floor

Other

Preferred cleaning days: Monday, Tuesday, Wednesday, etc.

Preferred cleaning times

When would you like service to begin?

As soon as possible

Flexible

I’m not sure

Specific date

Which cleaning services would you like included in your quote?

Dusting and Surface Cleaning(Select all that apply)

Break Room and Kitchenette Cleaning(Select all that apply)

Trash and Recycling(Select all that apply)

NOTE: Trash removal includes emptying interior bins, replacing liners if available, and moving bagged waste to a customer-provided dumpster or receptacle. Additional disposal arrangements may require a separate quote.

Interior Glass and Entryways(Select all that apply)

Additional Requests(optional)

Are there any known hazardous or unusual conditions at the property?

Yes and/or I'm not sure

Upload pictures/videos to give us a better idea on your space(optional)

I confirm that I have permission to submit these photos, videos and/or documents for quote-preparation purposes.

I didn't upload anything

Yes, I confirm

Quote Request Form Acknowledgment

Simpson Premier Cleaning LLC collects the information submitted through this form to review the request, prepare an estimate, schedule a walkthrough if needed, and communicate about the requested cleaning services.

Information may be processed or stored by service providers that help operate our website, form, email, scheduling, or file-storage systems. We do not sell submitted information. We keep information only as reasonably needed to respond to the request, maintain business records, comply with legal obligations, or resolve disputes.

Please do not submit passwords, alarm codes, Social Security numbers, payment-card information, medical information, or other highly sensitive information through this form.

I confirm that the information I provided is accurate to the best of my knowledge.

I understand that this is a request for a quote only. It is not a contract, service agreement, scheduled appointment, or guarantee that services will be accepted.

I authorize Simpson Premier Cleaning LLC to contact me by phone or email regarding this quote request.

I understand that the estimate may change if the actual property size, condition, access, cleaning scope, safety requirements, or requested services differ from the information provided.

I will not submit passwords, alarm codes, Social Security numbers, payment information, medical information, or other highly sensitive information through this form.

I understand that hazardous, biohazard, unsafe, specialty, or out-of-scope work may be declined or quoted separately.

I confirm that I am authorized to submit this quote request for the company or property listed above.

By submitting this form, I acknowledge the statements above.

Electronic Signature — Quote Request Acknowledgment Only

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Simpson Premier Cleaning

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Simpson Premier Cleaning