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Current Customer Data Sheet

You can help us provide consistent service by taking a moment to complete the customer data form below.  This information will act as a guide for your cleaning team to aid them in meeting your expectations.  The information is sent directly to a Customer Service Manager in our office and is utilized only by the staff of The Upstairs Maid for the purpose of better understanding your cleaning needs.

Thank you for helping us help you.


*Customer Name:
Address:
Zip:     
Number of Baths:      Number of Bedrooms:      Number of Stories:
Is your home/office more than 50% carpeted?    Yes  No
*Home Phone:
Cell Phone:

Name:
Cell Phone:

Name:
Work Phone:

Name:
Work Phone:

Name:
*Email Address:
Method of Payment:   Cash        Check         Charge Card ($1 Charge)        
Names Appearing on Checks:
(For accurate posting of checks, please enter names exactly as they appear on the check.)

Access To Your Home:
Upstairs Maid Has A:   Key       Gate Code       Alarm Code      
Location of hidden key and/or entering instructions:
Animal Names, Type and Special Instructions (indoor/outdoor):
Special Cleaning Product(s) Provided By Customer and Location of Product(s):
Location of Central Trash Container: 
Special Instructions Regarding Closed Doors:
"Do Not Touch" Items:
Additional Comments or Instructions:
 

  



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