REQUEST APPOINTMENT FORM

Please select your desire services, along with three possible options of the date and time. We will respond to confirm your appointment soon.
Services are payable when rendered.

PERSONAL INFORMATION:

Name*:
Company:
Address*:
City:
State:
Zip Code:
Telephone (home)*:
Telephone (Work):
Telephone (Cellular):
Email Address*:

SELECT THE SERVICE WANTED:

Select the Organization package of your choice:
	Bronze-package: 3 hours -> $100 ~~$150~~ ($45/hour thereafter)
	Silver-package: 5 hours -> $175 ~~$225~~ ($40/hour thereafter)
	Gold-package: 8 hours -> $320 ($35/hour thereafter)

Select the Moving/Relocation package of your choice:
	Pack-package: $35 ~~$70~~ per hour (5-hour minimum)
	Unpack-package: $45 ~~$90~~ per hour (5-hour minimum)
	Pack AND Unpack-package: $30 ~~$60~~ per hour (10-hour minimum)

Select the Maintenance package of your choice: (4-hour minimum \| valid for existing customers only \| appointments must be made within 30 days of the date your closet was organized)
	Every Month: $25 per hour
	Every 3 Months: $45 per hour
	Every 4 Months: $55 per hour
	Every 6 Months: $75 per hour

SELECT AREA(S) TO BE ORGANIZED:

	Bedrooms
	Kitchen
	Bathroom
	Garage
	Home Office
	Small Business Office
	Other Areas - List:

ENTER YOUR APPOINTMENT OPTIONS:

Select up to three appointment options:
1st option:
2nd option:
3rd option:

ADDITIONAL INFORMATION:

How do you describe yourself?
	First-time client
	Existing client

Comments/Goals (Is there anything else you would like to add?):

Services are payable when rendered. Please acknowledge that you are responsible for such payments by placing a checkmark in the "I ACCEPT" box below.

Print Name:

I accept:

To STOP SPAM please enter numbers below before submitting.
Repeat code as shown (Upper case):*

Thank you for requesting an appointment.