On-Site Inspection Agreement

CLIENT INFORMATION

Client Name*

First Last

Client Address*

Street Address Address Line 2 City State ZIP Code

Client Email*

Phone*

CREDIT CARD INFORMATION

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CREDIT CARD TYPE*

Visa
Mastercard
Discover

CARD NUMBER*

CARD EXPIRATION MONTH*

CARD EXPIRATION YEAR*

SECURITY NUMBER*

The security number is typically on the back of the card - 3 or 4 digits.

NAME ON CARD*

BILLING ADDRESS*

Street Address Address Line 2 City State ZIP Code

BILLING APPROVAL*

Thank you for requesting Empty Nest Cleaning (ENC) to provide a customized cleaning bid for your property.
By checking this box I agree to allow Empty Nest Cleaning Co to process my card for the amount agreed upon in this agreement.
On-site inspections are completed by an ENC Owner/Manager. By e-signing this document, and providing your credit or debit card information, you agree to a one-time $30 non-refundable inspection fee, to be charged prior to the scheduled appointment.
This secures the appointment time and date, as well as compensates for time, travel and the final customized 3-tier bid for your property. This $30 fee will be credited toward any final cleaning services provided. Additionally, you agree to photographs being taken of each room/space of the property to ensure an accurate and thorough customized bid.
Cancellation of your bid appointment with less than 24-hours notice will result in an equal $30 inconvenience/cancellation fee. This does not apply to rescheduled appointments.

I agree

CLIENT INFORMATION

CREDIT CARD INFORMATION