Maid Service Mail or Fax Completed Form to:
1955 First Avenue, New York, NY 10029
(917) 338-7763 or Fax: (917) 720-9033
Name
Street Address Apt. #
City State Zipcode
Telephone E-mail
ROOM SIZE Studio Two Bedrooms
(Choose One)
One Bedroom Three Bedrooms
Rooms included: Kitchen, Bathroom, Living Room and Bedroom
Services include Vacuuming, Dusting, Sweeping, Mopping and Supplies
FREQUENCY OF VISITS (Choose One) Weekly Monthly Bi-Monthly
* Package deals available.
EXTRA SERVICES (for additional fee; price available upon inspection)
Window/Blinds Yes No Children Yes No
Carpet/Area Rug Yes No Cabinets (inside) Yes No
Walls and Doors Yes No Stove (inside) Yes No
Scrub Floors Yes No Refrigerator (inside) Yes No
Closet Yes No Microwave (inside) Yes No
Pets Yes No
COMMENTS and SPECIAL REQUESTS