Let’s Get Sirius Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### What services are you interested in? * Residential Clean Commercial Clean Medical Clean Scheduling * Weekly Fortnightly Monthly Once Off Start Date * MM DD YYYY Time Hour Minute Second AM PM How many bathrooms? 1 2 3 4+ How many bedrooms? 1 2 3 4+ Do you live in a single, double or other (please specify)? * When was your last deep clean? Have you previously had a cleaner? * Tell us about your experience How many people live at home? What are your main concerns? Do you have any pets? * Yes No Are you interested in any extras? Mold Removal Soap Scum Removal Oven Clean Your enquiry has been sent successfully.