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ON-LINE QUOTATION & SERVICES INFORMATION REQUEST FORM

We appreciate this opportunity to be of service to you. The information provided below will assist us in determining 
how we might best serve your janitorial and maintenance needs. This no-obligation request for quotation is considered
confidential by Reliable Maintenance Service. Your information will not be sold, rented or otherwise disseminated.
If you have any questions, feel free to contact us via email or by phone at 1-800-794-7047

Contact Point to receive RMS response (required)Property Information needed for Quote Request (optional)

Name* Street Address
Work Phone* Address (cont.)
Title City

E-mail*

 State
Organization Zip/Postal Code
Street Address    
Address (cont.)
Total Square Feet
City

Cleanable Sq. Feet
State
How many floors?

Zip Code
How many Restrooms?
Country
Day Porters?

Porters

Mobile Phone
 
 No Porters
FAX
Open at:
 hh:mm am/pm         
URL
Closed at:
 hh:mm am/pm         
  General Comments, Questions or Special Cleaning Specifications  

 

 
Construction Clean-Up  	S
Natural Stone Restoration 	Terrazzo Stone Restoration
Stone/Exterior Cladding    	Stone Repair/Stain Removal
Counter Tops/Vanities        	Ceramic Tile Clean/Restoration
Grout Restoration           	Restroom Restoration   
Carpet/Upholstery           	Garage/Warehouse Scrub    
Power Wash/Steam Clean        	Window Washing
Masonry Restoration         	Sealer & Color Enhancing  
   Please fill in Contact field at top of page...  Thanks
 

   

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updated: January 27, 2003.Copyright 2002 RMS/GGI