Glen P. Beu Window & Gutter Cleaning

Name

Address

Preferred Contact Method

Phone
Email

Contact Phone or Email

Preferred Contact Time

Day
Evening
Weekend Only
No Preference

Call First to Schedule Estimate

Yes
No

Services Requested

Windows - Exterior
Windows - Interior
Gutter Cleaning
Other

Comments

Frequency of Services

Monthly
Quarterly (4 times per year)
Semi Annual (2 times per year)
Annual (one per year)
Custom Schedule
One time only

Preferred Payment Method

Payment at time of cleaning via Check
Payment at time of cleaning via Cash
Invoice left at time of cleaning
Invoice to be Mailed to Service Address