Schedule A Job Or Estimate
How can we help you
today?
I need an estimate
consultation
I need to schedule a
cleaning
Basic Information
Home Phone:
First Name:
State:
Cell Phone:
Last Name:
Zip Code:
Work Phone:
Ext.
Street Address:
Email
*Privacy Notice: Your email address is
held confidential and will never be sold.
City:
I prefer to be
contacted by:
Best time
to call:
Job Or Estimate Information
Have you used Kilen's Custom Cleaning services in the past?
Yes
No
What type of establishment are we addressing?
Residential
Commercial
Location Information
Residential
For residential, please answer the following questions to help us
determine how much time your job will require. For commercial,
please scroll down to the next section.
Approximately how many square feet does your home have?
How many stories is your home?
1
2
3
4+
Are there children living in your home?
Yes, children 5 or younger
Yes, children 6 or older
No children
Types of pets living in your home?
Dog
Cat
Bird
Rabbit or
Hampster
Fish
Other
None
Do you own an in-home carpet cleaner?
Yes
No
When was the last time your carpets/upholstry were professionally cleaned?
Please check the rooms in your home that needs cleaning, the type of cleaning needed, and the story
the room is located on.
One or more bedrooms
Living room or Family room
Kitchen or Dining Room
One or more bathrooms
Hallway or stairway
Other
Please list any other areas of concern that will need extra attention such as stains, pet odors,
water/moisture areas, or soot/fire areas and the age (if known) of each. This will help us
accurately schedule enough time to complete your project.
Commercial
What is the name of the business we will be cleaning?
Approximately how many square feet?
Please check the following areas that need our attention and the type of cleaning.
Office or reception area
Showroom or selling floor
Stockroom
Break rooms
Restrooms
Classrooms
How many?
Other
Please list:
If you have any areas of concern please list them below.
Thank you for taking the time to complete the above information.
Before you submit your information, please tell us how you heard
about Kilen's Custom Cleaning.

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you can then click submit at the bottom
of the page. A member of our friendly
staff will respond to you within 24
hours. Thank you!
Call Us Today!     218/686-2591
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