Bethany's Cleaning Service

Service Confirmation

In order to get you on the calendar, we just need a little info from you. Kindly fill in the fields below so we can get you started right away!

Which payment method do you plan to use?

How should we gain access to your property?

What’s the best phone number for you?

What’s your email address?

What is the address of the property to be cleaned?

Please let us know if you have any of these surfaces. (Check all that apply)

How many hours are available for the cleaner to work with?

We want to make sure that the items you most want cleaned are given attention first. Please list your priority tasks, in order of importance.

Date of cleaning:

Start time:

Payment Policies:
All payments are due, in full, within 5 calendar days of the date listed above. Late payments will incur a 10% late fee. The email and phone number listed above will be used for all billing and service-related communications. Unless otherwise specified in writing, our rate is $50/hour for residential and $75/hour for rental properties. Please note that our cleaners do not handle payments. Other than any tips you wish to give them, please do not directly pay your cleaner.
Sales Tax:
Please note that New York State requires us to charge 7% sales tax. Sales tax is not included in our quoted rates but will be added onto your total bill.
Keep in mind that if you cancel or reschedule your appointment within 72 hours of the date/time listed above, you will incur a cancellation fee equal to 50% of the appointment described above. To avoid this, make sure you email, call, or text us as far in advance as possible. In the event our cleaner is unable to gain access to the building at the date and time of the appointment, this will be considered a last-minute cancellation and will be subject to the same fees. 


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Bethany's Cleaning Service
Signature Certificate
Document name: Service Confirmation
Unique Document ID: eb3382c433f97512700729612ba7219e57ae8171
Timestamp Audit
May 22, 2019 12:31 pm EDTService Confirmation Uploaded by Bethany's Cleaning - IP