Upper Crust Cleaning | Intake Form

Campus

Chapter Designation

House Name

Address

City

State

Zip Code

Contact Name

Contact Email

Contact Phone

Type of Account

Estimated Start Date

Approx. Square Footage

Live-In Members

Out-of-House Members

Est. Hours Per Week

Est. Days Per Week

Est. Employees Per Day

Year Type Services?

Water Source/Mop Sink?

House Director On-Site?

Elevator Access?

Lockable Storage?

Pre-Semester Deep Clean?

Post-Semester Deep Clean?

Winter Break Deep Clean?

Additional Client Notes / Requirements

Dining Room Tables - How many?

Dining Room Seats - How many?

How many stories to the house?

Housekeeping Request