Diana Velazco (certified MWBE)

Phone: 954.454.3988
Email: ams@aventuramaid.com
417 NE 2nd Ave
Hallandale Beach, FL 33009
 

Commercial Cleaning Services

Application

                       
Company Name:  
First Name:   Last Name:      
                     
Address:   City:   State:  Zip:
  Home Phone:     Cell Phone:     Receive Text:  Yes No  
Other Phone:   Fax Number:   Email:
  Referred By:     Best Time to Contact:            
                     
 
Type of Cleaning Service: Commercial 
 
                       
  Start Date:      
                       
COMMERCIAL DETAILS:

Total Square Foot: Number of Floors: Total Areas:

Please enter the number of the following areas:
Office Areas:
Reception Areas:
Bathrooms: 
Exam Rooms:
Waiting Rooms:
Other Areas: 

Floor Type(s): (select all that apply)
Tile Wood Carpet Marble Other

DAYS/HOURS REQUIRED:
Sunday:   
FROM: TO:
Tuesday:   
FROM: TO:
Thursday:   
FROM: TO:
Saturday:   
FROM: TO:
Monday:   
FROM: TO:
Wednesday:   
FROM: TO:
Friday:   
FROM: TO:
                       
Comments: 
   
   
   
   
                       
Password:  
* This will be used for you to gain access to your account
** Password must be at least 6 characters, and spaces are not allowed.
  Password:    Confirm  Password:             
     
   
     
                       
   
                       
 
Diana Velazco (certified MWBE)

Phone: 954.454.3988
Email: ams@aventuramaid.com


417 NE 2nd Ave
Hallandale Beach, FL 33009