Online Estimate Request Form

If you are visiting our site in the evening or over the weekend, please fill out this Online Estimate Request Form to obtain an estimate from The Maids Home Services. We will process your request and call you the next business day.

In order to receive the most accurate estimate, please take the time to fill out all of the fields to the best of your knowledge.

* Designates a required field

* Name:
Street Address:
City:
State:
* Zip:
* Daytime Voice Phone Number & Area Code:
Evening Phone Number & Area Code:
Cellular Phone Number & Area Code:
* E-Mail Address:
What kind of home do you wish to have cleaned?				Select One Please House Apartment Condo Duplex Townhouse
What is the approx. square footage of your home?
How many people live in your home?
Do you have pets? How many?
How many of the following rooms do you have in your home?
Bedrooms:	Select 0 1 2 3 4 5	Bathrooms:	Select 0 1 2 3 4 5	Livingroom:	Select 0 1 2 3 4 5
Kitchen:	Select 0 1 2 3 4 5	Den/Study:	Select 0 1 2 3 4 5	Family Room:	Select 0 1 2 3 4 5
Dining Room:	Select 0 1 2 3 4 5	Dinette:	Select 0 1 2 3 4 5	Laundry:	Select 0 1 2 3 4 5
Rec Room:	Select 0 1 2 3 4 5	Entry Hall:	Select 0 1 2 3 4 5	Sun Porch:	Select 0 1 2 3 4 5
Stairs:	Select 0 1 2 3 4 5	Office:	Select 0 1 2 3 4 5
Other rooms:				Select 0 1 2 3 4 5
How often do you wish to have services?				Select One Please Every Week Every Other Week Every Four Weeks Seasonal Monthly
If other, please explain:
How did you hear about us?				Select One Please Internet Car Newspaper Word of Mouth Radio TV Direct Mail Yellow Pages Other
What is your number 1 reason for looking for a cleaning service?
Please share any other comments you may have with us:

Please type the characters you see in the picture above