San Diego Carpet Cleaning

Carpet being cleaned

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Phone Number *

Email *

If this cleaning is for an apartment, please tell us which floor you are on.

Floor (we provide service up to the 2nd floor)

Please indicate how many rooms require the standard carpet cleaning service?

Bedrooms / Areas (up to 250 sqft per)


Flight of stairs

ADDITIONAL SERVICES: Please indicate for how many rooms, flight(s) of stairs and hallways you would like the following advanced services/treatments done along with carpet cleaning.

Professional Scrubbing (recommended for heavily soiled or stained carpets)

Anti-Allergy (blocks dust mite allergens from releasing)

Advanced Carpet Protectant (Teflon alternative)


Please enter in the number of each upholstered item type to be cleaned.

Sectional Couch (total number of pieces)


Love Seat




Over-sized Chairs

Ottoman (large)

Ottoman (med)

Ottoman (sm)

Mattress (twin/queen)

Mattress (king)

Box Spring

Dining Chairs (bottom/back)

Dining Chairs(fully upholstered)

Dining Chairs (bottom only)

Please tell us the number of vehicles you would like us to clean the upholstery of?

Economy – 2 Door

Economy – 4 Door

Mini Van – Large

Mini Van

Sedan – Large

Sedan – med

Sedan – sm

SUV – Large

SUV – Med

SUV – Sm


How many area rugs would you like us to clean for you?

What is the total square footage of all area rugs combined?

Please let us know if you have a coupon and from where!

How did you hear about us?

If other, please specify:

Questions? Special Considerations?

If you were referred by someone, please let us know their name so we can thank them for their support!:

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