Refyne Cleaning

New Client Intake Form

Fill this out before your first appointment so we can take great care of your space.

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)

Bedrooms

Bathrooms

Cleaning Service

🌊

Fresh

Starting at

$159

🌿

Deep Refresh

Starting at

$229

📦

New Chapter

Starting at

$349

🏠

Airbnb & Rental

Starting at

$149

Price Estimate

Estimate only. Your exact price is confirmed before your cleaner arrives.

Preferred Date

Preferred Time

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)

Add-Ons (optional)

Inside oven +$35 Inside fridge +$35 Inside oven + fridge +$65 Wash + fold per load (your machine or building laundry) +$35 Fold only per load (client washes, we fold) +$20 Interior window cleaning +$5 per window Upholstery cleaning +$89 Pet odor + stain treatment +$45 Carpet stain protector +$40 Post-event cleanup Contact us for pricing

Space Details

Additional rooms (dining room, office, sunroom, etc.)

Number of interior windows to clean ($5 per window)

Want accurate pricing before your cleaner arrives? Upload a few photos of your space below the more detailed the better. We will confirm your exact price before your appointment, no surprises.

Upload photos of your space (optional but recommended)

Kitchen, bathroom, living areas any areas that need extra attention

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

Refyne Cleaning • (917) 408-3198 • info@refynecleaning.com