Request Cleaning Appointment Form

Type of Cleaning Requested *

(Check ALL that apply.)

Large Event Cleaning

Home Organization

Patio Clean and Set Up

Window Blind Cleaning

Deep House Cleaning

House Cleaning and Maid Service

One-Time House Cleaning

Move-in Move-Out House Cleaning

COVID-19 Fogging Service

Commercial Awning Cleaning

Put Up & Take Down Seasonal Lighting

Handyman Services by Daher

Commercial Cleaning

Other (please specify in message box at bottom of this form)..

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

First Choice Date Requested *

(Pick your first choice for the appt.)

MM

DD

YYYY

Second Choice: Date Requested

(optional)

MM

DD

YYYY

Time Choice Requested *

(Check ALL that apply.)

Morning

Afternoon

Evening

Anytime