Refyne Cleaning Client Intake Form

Contact Information

First Name

Last Name

Phone Number

Email Address

Preferred Contact Method

Text Call Email

Service Details

Service Address

Apt / Suite / Floor

Zip Code

Type of Space

Residential (Home / Apartment) Commercial (Office / Business)

1. Choose your service

2. Your details

Bedrooms

Bathrooms

Additional rooms (dining, office, etc.)

Interior windows ($5 per window)

3. Add-ons (optional)

Access & Entry

How will we access your space?

I will be home Doorman building Lockbox Other I'll explain in notes

Building / Buzzer / Entry Instructions (optional)

Anything Else?

Special instructions or areas to focus on (optional)

Any fragile or valuable items we should know about? (optional)

Thank you!

We've received your information and will be in touch shortly to confirm your appointment.

Questions? Reach us at (917) 408-3198 or info@refynecleaning.com