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1.Name *

First

Last

2.Phone Number *

Window Number Preferred

3.Email *

4.Service Address: *

5.Property Type *

• House
• Aparment/Condo
• Commercial Building

6. Number of Stories

• 1 Story
• 2 Stories
• 3 Stories
• 4+ Stories

7. Number of Windows *--- Select Choice ---1-1516-2526-3535+

Areas to Clean (Multi-Select)

• Exterior Windows
• Interior Windows
• Screens
• Tracks
• Hard Water Stain Removal
• Solar Panels
• Skylight Window

9. Preferred Date (Optional)

10. Preferred Time Window (Optional)Morning (8 AM–12 PM)Afternoon (12 PM–4 PM)Anytime

11. Additional Notes

Anything else we should know?

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