REFERRAL FORM

Our unique Referral Incentive Program* entitles you to save up to 50% (Maximum $75) on your next cleaning service.  The more people you refer at the same time, the more you save.  For each referral who accepts our services, you save the following amounts on your next cleaning (excluding Housekeeping Services):

1 referral = 20% discount (Maximum $30)
2 referrals = 30% discount (Maximum $45)
3 referrals = 50% discount (Maximum $75)

You can save on your subsequent cleaning too by submitting more referrals!

The form below allows you to refer up to a maximum of 3 at one time.  If you have more than 3 referrals, simply submit additional forms for up to another 50% (Maximum $75) discount after that, and so on, and so on.

*The referred customer's cleaning service must total a minimum value of $70.

The following Personal information must be included
in order for your discount to be properly applied:

Name:

*

Street Address:

*

Address (cont.):

*

Intersections:

*

City:

*

Province:

*

Postal Code:

*

Work Phone:

Home Phone:

*

Cell Phone:

E-mail:

 *
(Data will be kept confidential)

* REQUIRED FIELDS
 

Please provide the following Referral information:
(Provide as much information as possible)

Referral #1 = 20% Discount (Maximum $30)

Name:

Street Address:

Address (cont.):

Intersections:

City:

Province:

Postal Code:

Work Phone:

Home Phone:

Cell Phone:

E-mail:

Select from the following services
(Check all that apply)

Window Cleaning (outside)
 Window Cleaning (inside)
 Skylight Cleaning (outside)
 Skylight Cleaning (inside)
 Misc., such as: mirrors, ceiling fans, etc...
 Eavestrough Cleaning
 Gutter Filter™

Referral #2 = 30% Discount (Maximum $45)

Name:

Street Address:

Address (cont.):

Intersections:

City:

Province:

Postal Code:

Work Phone:

Home Phone:

Cell Phone:

E-mail:

Select from the following services
(Check all that apply)

Window Cleaning (outside)
 Window Cleaning (inside)
 Skylight Cleaning (outside)
 Skylight Cleaning (inside)
 Misc., such as: mirrors, ceiling fans, etc...
 Eavestrough Cleaning
 Gutter Filter™

Referral #3 = 50% Discount (Maximum $75)

Name:

Street Address:

Address (cont.):

Intersections:

City:

Province:

Postal Code:

Work Phone:

Home Phone:

Cell Phone:

E-mail:

Select from the following services
(Check all that apply)

Window Cleaning (outside)
 Window Cleaning (inside)
 Skylight Cleaning (outside)
 Skylight Cleaning (inside)
 Misc., such as: mirrors, ceiling fans, etc...
 Eavestrough Cleaning
 Gutter Filter™

Any additional questions or comments?
(Type in box below)

 

 

 

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