Title: Select... Mrs. Mr. Dr.

Name:

Company:

Street:

City:

Zip Code:

State: Select... CA NV

Phone:

Email:

Fax:

Service Type: Select... Construction Sweeping Parking Lot Maintenance Floor Scrubbing Street Sweeper Sales Street Sweeper Maintenance

Please choose options from the appropriate section below...

Construction Sweeping

Wage Class: Select... Private Rates Prevailing Rates (Public Work)

Job Time: Select... One-Time Call-Out 3 Hour Call-Out 4-5 Hour Call-Out 8 Hour Call-Out Daily Call-Out

Job Length: Select... One-Time Use Couple of Days A Week A Couple of Weeks A Month More Than A Month

Equipment: Select... Mechanical Broom Sweeping Air Sweeper - Low Dump Air Sweeper - High Dump Air Sweeper - PM10 Certified Surface Scrubbing - Wet Surface Scrubbing - Dry

Parking Lot Maintenance

Property Type: Select... Retail Center Business Center Industrial Center Parking Garage Private Business Warehouse Apartment Community Home Owners Association Mobile Home Park Schools or Universities State or Federal Conract

Prop. Name:

Prop. Address:

Frequency: Select... Daily Weekly Monthly Quarterly Bi-Monthly Bi-Weekly Other

Budget: Select... <$100 Per Month <$200 Per Month <$300 Per Month <$400 Per Month <$500 Per Month <$600 Per Month <$700 Per Month <$800 Per Month <$900 Per Month <$1000 Per Month <$1100 Per Month <$1200 Per Month Other Amount

   Type of Service:

            Sweeping:  Porter:   Steam Cleaning:

                Window Cleaning:  Hauling Service:

Floor Scrubbing

Property Type: Select... Parking Garage Private Business Warehouse Spot Cleaning Parking Lot Industrial Complex Cold Storage

Prop. Name:

Prop. Address:

Size: Select... Under 10,000 Square Feet 10,000-100,000 Square Feet 100,000-250,000 Square Feet 250,000-500,000 Square Feet Over 500,000 Square Feet

Surface Type: Select... Concrete - Smooth Concrete - Rough Asphalt - Smooth Asphalt - Rough Other Surface

Service Use: Select... On-Call One Time Use On-Call Repeated Use Contracted Use

Street Sweeper Sales

Property Type: Select... Parking Garage Private Business Warehouse Spot Cleaning Parking Lot Industrial Complex Cold Storage

Prop. Name:

Prop. Address:

Size: Select... Under 10,000 Square Feet 10,000-100,000 Square Feet 100,000-250,000 Square Feet 250,000-500,000 Square Feet Over 500,000 Square Feet

Surface Type: Select... Concrete - Smooth Concrete - Rough Asphalt - Smooth Asphalt - Rough Other Surface

Additional Requests: