Gator Blinds, Orlando Call 407-462-7750 - Orlando Shutters
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FREE Estimate - please fill out

Name:
Company
Street
City  /  State  /   Zip    
Name of Subdivision
Home Phone #   /   Cell Phone #     
Email Address:
Indicate which rooms you need service in?
How many bathrooms?
What service you would like?
Kitchen          Office            Foyer                Family room
Living room    Dining room  Laundry room  
1 Bathroom   2 Bathrooms  3 Bathrooms     4 Bathrooms
one time cleaning     weekly     bi-weekly     monthly
Please tell us : Number of Bedrooms
Please enter any additional comments or instructions
What would be the best day / time for your cleaning appointment.   Day   Time  am pm
Please tell us how you became aware of Gator Clean
If you entered "referral" in the field above, please tell us by whom


Complaints - please let us know

Name:
Company
Street
City  /  State  /   Zip    
Name of Subdivision
Home Phone #   /   Cell Phone #     
Email Address:
Indicate which rooms you need service again?
Service again- bathrooms?
How was the service?
Kitchen          Office            Foyer                Family room
Living room    Dining room  Laundry room  
1 Bathroom   2 Bathrooms  3 Bathrooms     4 Bathrooms
excellent     good    fair     poor
Service again - Bedrooms: Number of Bedrooms
Please explain the complaint
What would be the best day / time for your cleaning appointment.   Day   Time  am pm
Please tell us how you became aware of Gator Clean
If you entered "referral" in the field above, please tell us by whom


Survey - please tell us

Name:
Company
Street
City  /  State  /   Zip    
Name of Subdivision
Home Phone #   /   Cell Phone #     
Email Address:
Indicate which rooms you needed service ?
How many bathrooms?
How was the service?
Kitchen          Office            Foyer                Family room
Living room    Dining room  Laundry room  
1 Bathroom   2 Bathrooms  3 Bathrooms     4 Bathrooms
excellent     good    fair     poor
How many Bedrooms: Number of Bedrooms
Please describe the quality of work performed by our Specialist
What day / time you had the cleaning appointment.   Day   Time  am pm
Please tell us how you became aware of Gator Clean
If you entered "referral" in the field above, please tell us by whom

 

Gator Clean (Parent company Gator Blinds)
• 1631 Rock Springs Rd • Apopka • Florida • 32712 • Phone: (407) 496 – 5180