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Gift Certificate Information Page
E-Mail Gift Certificate Order Form
Certificate Buyer Info
This Is Your Info
Full Name:
Street Address:
City, State and ZIP:
Phone Number:
Email Address:
Email Address again to Confirm:
Certificate Recipient Info
This Is Who It Is Going To
Full Name:
Street Address:
City, State and ZIP:
Phone Number:
Email Address:
Recipient email again to Confirm:
Cleaning Type and Nr of Hours
Select Type of Cleaning:
General Cleaning ($30 per hr)
OR
Move-Out Cleaning ($35 per hr)
Select Number of Hours:
2 Hours
2.5 Hours
3 Hours
3.5 Hours
4 Hours
4.5 Hours
5 Hours
5.5 Hours
6 Hours
6.5 Hours
7 Hours
7.5 Hours
8 Hours
8.5 Hours
9 Hours
9.5 Hours
10 Hours
10.5 Hours
11 Hours
11.5 Hours
12 Hours
12.5 Hours
13 Hours
13.5 Hours
14 Hours
14.5 Hours
15 Hours
15.5 Hours
16 Hours
16.5 Hours
17 Hours
17.5 Hours
18 Hours
18.5 Hours
19 Hours
19.5 Hours
20 Hours
Enter Your Gift Certificate Message Here:
Select Where to Email the Certificate:
Recipient
Buyer
Both
