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FORM 4
Customer Information Sales Information
Name of Account __________________________ Sales Person ____________
Contact Person __________________________ Date of Sale ____________
Telephone __________________________ Starting Date ____________
Area/District __________________________
Hours Per Hours Per Frequency Cleaning Month Monthly Fee
Janitorial Housekeeping __________ __________ __________ $__________
Windows (monthly average) __________ __________ __________ $__________
Floors (monthly average) __________ __________ __________ $__________
Carpets (monthly average) __________ __________ __________ $__________
Other __________ __________ __________ $__________
Other __________ __________ __________ $__________
Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . __________ $__________
Days of week:
[ ] Sun. [ ] Mon. [ ] Tues. [ ] Wed. [ ] Thur. [ ] Fri. [ ] Sat.
Starting time each day: ______________ Finish time each day: ____________
SERVICES
Service Area Frequency Square Feet Price/Sq. Ft. Fee Per Clng.
Floors
Wet Mopping __________ __________ __________ __________ $___________
Buffing __________ __________ __________ __________ $___________
Scrubbing __________ __________ __________ __________ $___________
Stripping __________ __________ __________ __________ $___________
Carpets
Complete __________ __________ __________ __________ $___________
Traffic Lanes __________ __________ __________ __________ $___________
Windows
Entry __________ __________ __________ __________ $___________
Outside, all __________ __________ __________ __________ $___________
Inside, all __________ __________ __________ __________ $___________
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