Commercial Cleaning

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Your Name*:
Telephone Number*:
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Carpet	Total Square Feet
	Last cleaning Date: January February March April May June July August September October November December 2000 or earlier 2001 2002 2003 2004 2005 2006 Don't Know
	Do you use entrance/slush matting? Yes No
	If Yes, are they rental mats? Yes No Not Applicable or Don't Know
	How often is the carpet cleaned? time(s) per year
	Approximate age of carpet(s) to be cleaned years
	Your business classification: Retail Manufacturing Wholesale Professional Service Construction Other
	Do you require an Anti Static treatment ? Yes No
	How would you rate your custodial services ? Good Fair Not Applicable
Area Rug(s)	Sizex Natural FibreSynthetic Fibre
	Sizex Natural FibreSynthetic Fibre
	Sizex Natural FibreSynthetic Fibre
	Sizex Natural FibreSynthetic Fibre
	Sizex Natural FibreSynthetic Fibre
	Sizex Natural FibreSynthetic Fibre
Upholstery	Sofa #
	Loveseats #
	Chairs #
	Fabric Dividers Total Square Feet
	Office Chair(s) #(seats and backs)
	Office Chair(s) #(seats only)
	Office Chair(s) #(seats, backs and arms)
	Do you require a stain repellent treatment? Yes No
	Other Items
Drapery	Sheers # of Pleats
	Unlined Panels # of Pleats
	Lined Panels # of Pleats
	Valance(s) total linear feet
	Flat panels total square feet
Blinds	Type Vertical Silouette Duette Roller Shade Pleated Shade Sunscreen Luminette Width feet - # of units
	Type Vertical Silouette Duette Roller Shade Pleated Shade Sunscreen Luminette Width feet - # of units
	Type Vertical Silouette Duette Roller Shade Pleated Shade Sunscreen Luminette Width feet - # of units
	Type Vertical Silouette Duette Roller Shade Pleated Shade Sunscreen Luminette Width feet - # of units
Other Helpful Information	Do your drapery require a fire retardant treatment? Yes No
	Are any repairs required to your area rugs or window coverings? Yes No
	If so please elaborate: