Sponge & Sparkle, Inc.
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Sponge & Sparkle, Inc.
3374 Hardee Avenue
Chamblee, Ga 30341
(404) 633-9652 • Fax: (770) 451-3886
email: raina@sparklecare.com
Sponge & Sparkle, Inc.
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First Name*
Last Name*
Street Address*
City*
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Zip Code*
E-mail Address*
Contact Phone*
How do you wish to be contacted?
How did you hear about us?
(Select all that Apply)
Flyer    Kudzu    Other  
Angies List    Referral    
Square Footage
How Many Stories?
# of Bedrooms
# of Bathrooms
# of Occupants
# of Pets
Do you have:
(Select all that Apply)
Carpet   
Tile   
Wood Floors   
Linoleum   
Frequency Desired:
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One-Time   
Empty House - move-in / move-out   
Weekly Service   
Bi-Weekly Service   
Monthly Service   
Occasional   
1st Time-Service
(Select all that Apply)
Whole House Detail  
General Cleaning   
Gift Certificate ($90 min.)   
Empty house   
Service Date*
When do you need service?
Comments
Other services needed:
(Select all that Apply)
Carpet Cleaning   
Tile & Grout Cleaning   
Window Washing   
Painting (interior or exterior)   
 
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