Carey Carpet Care Online Appointment Scheduler

First Name: Last Name:
Address (line 1):
Address (line 2):
Home Phone: - - Business or Cell Phone: - -
E-Mail Address:


Please answer the following 9 easy questions (enter values only where applicable):

1. Number of rooms to be cleaned: 2. Number of rooms over 150 sq. ft. 3. Number of stairs:
4. Approx. Overall Square Footage: 5. Color of Carpet: 6. Date of Last Cleaning (MM/YY):
7. How Dirty is the Carpet: Lightly Soiled Moderately Soiled Heavily Soiled
8. Which Upholstery Items Need Cleaning: Sofa Loveseat Chair
9. Types of Fabric Cotton Synthetic


When would you like for us to come out?

Time: Date:


When is the best time to contact you?

Morning Afternoon Evening


Please contact me as soon as possible regarding this matter.