FC
FIXÉCLEAN · Client Intake Form
Office / commercial / facility services
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Please fill this form before the first quote. This helps us understand your site, service needs, supply needs, and access instructions.
1) Client information
Company name
Contact person
Phone
Email
Site address
Best time to contact
2) Service details
Service type
Frequency
Start date
Site size / notes
3) Supplies needed
Paper towel
Washroom tissue
Hand soap
Garbage bags
Bin liners
Chemicals
Sanitizer
Other
4) Access / instructions
Entry code / key / special instructions
5) Approval
Name
Signature