Schedule a Residential Cleaning

(If you require same or next day service, please call 212-777-6000; otherwise, you can use this form.)

Required fields are in red.

First Name:
Last Name:
Home Phone:
Work Phone:		Ext:
Cell Phone:
E-mail:
Address:
Address:
Apartment #:
City:
State:		Zip:
Referred By:
Services Required (rates will be charged plus sales tax) :
General Cleaning/Maid Service ($20 per hour)
Move In/Out Cleaning ($30 per hour)
Heavy Cleaning ($30 per hour)
Post Construction Cleaning ($30 per hour)
Service Date:
Start Time:
Finish Time:
How will we access the premises?
Someone will be home to let us in
See Superintendent
Super's Apt #: Super's Phone:
Key provided
Doorman
Other: see notes below
Please provide and details or special instructions below.

212-777-6000 | e-mail: info@maidinnewyork.com