New Customer Onboarding | Georgia

Name(Required)

First Last

Email(Required)

What is the name of your location we are servicing?

Schedule Information

Would you be willing to provide after-hours access via a key or lockbox for $90 OFF your first cleaning?(Required)

YES

NO

Which option would you like to provide?(Required)

Physical Key(s)

Lockbox

Door Code

Lockbox Code(Required)

Door Code(Required)

Please list your preferred days of the week and hours for scheduling:

Example: Monday - Friday at 10:00 PM or Tuesday at 3:00 PM

Payment Authorization

Select your preferred method of payment:(Required)

ACH or Bank Transfer (0% Fee)

Credit / Debit Card (3% Fee)

Check ($39.99 Paper Handling Fee)

Account Type:(Required)

Checking

Savings

Name on Account(Required)

Routing Number(Required)

Account Number(Required)

Name of Financial Institution(Required)

Phone Number(Required)

Please type Full Name for Signature(Required)

Card Holder Name(Required)

Card Number(Required)

Expiration Date(Required)

CVV(Required)

Billing Zip Code(Required)

Please type Full Name for Signature(Required)

Today's Date(Required)

Discount Code (if applicable)

Is your billing information different from your service location(s)?(Required)

YES

NO

"Bill To" Company Information

The "Bill To" section refers to the entity or person responsible for receiving and paying the invoice. In most cases, this is the same as the service location. However, if your invoices need to be sent to a different person, department, or address (such as a corporate office or an accounting department), please provide the correct billing details below. If your billing information is the same as your service location, you can skip this section.

"Bill To" Company Name

EX: Restaurant Group, LLC

Corporate Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Corporate Phone

Corporate Email

Optional: Select additional contact types you would like for us to keep on file

Scheduling Contact

Financial Contact

Management Contact

Security Contact

Other contact

Scheduling Contact Name

First Last

Scheduling Contact Email

Scheduling Contact Phone

Financial Contact Name

First Last

Financial Contact Email

Financial Contact Phone

Management Contact Name

First Last

Management Contact Email

Management Contact Phone

Security Contact Name

First Last

Security Contact Email

Security Contact Phone

Other Contact Name

First Last

Other Contact Job Title

Other Contact Email

Other Contact Phone

Welcome to the Hoods Unlimited family!

Schedule Information

Payment Authorization

"Bill To" Company Information