Platinum Plan Client Intake Form

This form is designed to gather detailed information for iClean's Platinum Commercial Cleaning Plan, covering extensive office and warehouse cleaning needs.

Company Name:

Primary Contact Person:

Contact Email

Contact Phone

Facility Details

Facility Address:

Total Estimated Square Footage

Number of Offices/Rooms (10+)

Number of Warehouse/Storage Units (1+)

Please list specific areas to be cleaned (e.g., executive offices, break rooms, restrooms, production areas, loading docks)

Service Scheduling & Preferences

Preferred Cleaning Schedule

Do you anticipate needing after-hours scheduling (no additional cost with platinum)?

Yes

If fixed schedule, please specify preferred days and time. If as-needed, indicate typical time window

Platinum Plan Service Checklist

Please confirm your understanding and interest in the following included Platinum services:

7 cleaning sessions per week

Covers 10 or more rooms/offices

Covers 1 warehouse/storage unit

Free one-time sanitization fogging session once a month

15% discount on all additional and add-on services

Priority Support line access

Additional Information & Site Visit

Preferred Date for Site Visit (required for custom quote):

Preferred Time for Site Visit:

Any other specific requirements, concerns, or notes for our team?

If you are human, leave this field blank.

Platinum Plan Client Intake Form

Facility Details

Service Scheduling & Preferences

Platinum Plan Service Checklist

Additional Information & Site Visit

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