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Contact Name:
Company Name:
Address:
City:
Province:
Postal Code:
Type of Business:
Phone:
Fax:
Email:
Website:
   
1. Check service(s) desired:
Floor Waxing Window Cleaning
Carpet Cleaning Construction Clean-up
Painting Floor Scrubbing
Handyman/Porter/Superintendent Services Office Cleaning
Other Services    
   
If other please explain:
   
2. Frequency of service:
3. Approximate square feet of facility:
4. Number of employees at location:
5.  Number of lavatories:
6. Number of kitchens/pantries:
   
How did you hear about us?  
 
   
Comments:  
 
   
 
 
 
 
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