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Cleaning Proposal -Form Fill

Section One
Q2

Client Name

First Name
Q3

Client Name

Last Name
Q4

Client Email
Q5

Client Phone Number

Phone Number
Q6

Client Property Type
Q7

Client Property Address

Street Address
Q8

Client Property Address

Street Address Line 2
Q9

Client Property Address

City
Q10

Client Property Address

State / Province
Q11

Client Property Address

Postal / Zip Code
Q12

Choose your preferred services*
Q13

Total Amount Due
Q14

Payment Method*
Q15

Payment Due Date (Every _ of the Month)
Q16

Late Charge Fee %
Q17

Proposal Validity Date

Date
Q18

Service Start Date

Date
Q19

Working Days
Q20

Working Hours

Hour
Q21

Working Hours

Minutes
Q22

Working Hours

AM/PM Option
Q23

Company Representative Signature
Q24

Client Signature