Move-in
Intake Form

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you require anything cleaned that is not included in our Signature Checklist?

Select all the apply

Inside Oven

Inside Fridge

Inside Kitchen Cabinetry

Inside Bathroom Cabinetry

Doors and Door Frames

Window Coverings

Will there be any pets on-site? *

No

Yes

When would you like to book?

Select your ideal date

MM

DD

YYYY

Signature Checklist *

I have reviewed Terra Scrub’s Signature Checklist (included in your welcome email)

Policies and Procedures *

https://terrascrubcleaning.com/faq/

I have reviewed Terra Scrub’s Policies and Procedures provided in the link above