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New Customer Intake—Porter-Blair Cleaning Company

Thank you for your interest in Porter Blair Cleaning & Co. Please complete the form below and a member of our team will contact you within 24 hours with a customized quote for your facility.

Contact Information

First/Last Name

*

Company/Facility Name

*

Service Address

*

Best Contact Number

*

Email Address

*

Facility Information

Type of Service

*

Type of Service

A

Office & Commercial Facilities

B

Industrial & Manufacturing Facilities (Includes Facility Offices)

C

Medical & Healthcare Facilities

D

Janitorial Cleaning

E

Apartment Complex Cleaning

F

Post-Construction Cleaning

G

Specialty Floor Care

Frequency of Service

*

Frequency of Service

A

Daily (5 days/week)

B

3 days/week

C

Monthly

D

One-time

Square Footage

*

Number of Restrooms

*

Preferred Cleaning Window

*

Preferred Cleaning Window

A

Business hours (5 am-7 am)

B

During business hours

C

After business hours (4 pm-11 pm)

D

Overnight

E

Flexible

Facility Details

Floor Types

*

Floor Types

A

Carpet

B

Hardwood/Laminate

C

Vinyl/LVT

D

Tile (ceramic/porcelain)

E

Sealed Concrete

F

Epoxy-Coated Floor

G

Rubber/Anti-fatigue Mats

H

Other

Hazardous Materials on Site?

*

Hazardous Materials on Site?

A

No hazardous materials

B

Chemicals/Solvents

C

Medical/biohazard waste

D

Heavy industrial machinery

How will our team access the facility?

*

How will our team access the facility?

A

Keys provided

B

Keypad/access code

C

Key fob/badge

D

Security check-in required

E

Staff will let us in

Add-on Services Needed

*

Add-on Services Needed

A

Floor care-basic (buff/mop)

B

Floor care -specialty (strip/wax)

C

Carpet cleaning

D

Medical grade disinfecting

E

Post-construction deep clean

Anything else we should know? (access notes, special requirements, parking instructions, etc.)

Thank you for reaching out to Porter Blair Cleaning & Co.! A member of our team will review your submission and contact you within 24 hours with a customized quote for your facility. To help us quote accurately, feel free to email photos of your space directly to info@porterblaircleaning.com. We look forward to serving you!