Residential Order Form



THANK YOU FOR THE ORDER!

for your interest in our
RESIDENTIAL
CLEANING KITS.
Due to the "unsecured" nature of our website,
we suggest that you COMPLETE and PRINT
the order form
and FAX it
to our
Customer Service Line
-or-
JUST CALL US !

DIRECTIONS:
PLEASE ORDER YOUR KIT (S)  BY:

(1) Completely filling out this
Order Form

(2) Printing out this Order Form

(3) FAXING US at: 1-631-643-4649

-OR-

Calling Us DIRECTLY at 1-631-643-1882
to place your order

-OR-

E-mailing your information to: healthycleanblgs@gmail.com

 
WE APPRECIATE YOUR BUSINESS:
 
HEALTHY CLEAN BUILDINGS
4 Wilmington Drive
Melville, New York 11747.

WE APPRECIATE YOUR BUSINESS!

We Accept These Credit Cards Through
Our SECURED Electronic Banking System
"PAYPAL" :






1) BILL & SHIP TO

Name:
Email:
Street Address:
City, State, Zip:
Home Phone:
Work Phone:
Other Instructions:






2) PAYMENT METHOD

  • IF paying by "MASTERCARD"-or-"VISA" ,
    please use our  SECURED  Electronic Banking System :
    " PAYPAL ". It accepts electronic transfer from your
    checking account or credit cards.

    Just go to our home page : http://www. cleaningpro. com
    and scroll down the page UNTIL you see the " PAYPAL " logo.
    Click twice.



    "PAYPAL" USER  DIRECTIONS :

    Here are easy-to-follow directions for setting up your  FREE  account.
    There is NO COST to you since the vendor ( HEALTHY CLEAN BUILDINGS ) pays a 2 % fee for every banking transaction:

    Step # 1 ) Go to : http:// www.paypal.com
    ( Cookies will appear. Press O.K. )

    Step # 2 ) A request to a "SECURE DOCUMENT" will appear.
    Click..."CONTINUE".

    Step # 3 ) You will appear at "PAYPALíS" Main Page.

    Step # 4 ) Click-"SIGN UP FOR YOUR  FREE  'PAYPAL' ACCOUNT".
    ( A Cookie will appear. Click O.K. )

    Step # 5 ) Please register your account using your e-mail address
    ( ie : johnjanedoe@mainst.com ) and password ( must be a minimum 8-10 letters).

    Step # 6 ) Allow account to be established .

    Step # 7 ) Click "LOGIN"  into your account.
    Click TOP   BLUE  TAB : "SEND MONEY".

    Step # 8 ) For Recipient's name, Fill In : healthycleanblgs@gmail.com
    You can now pay for this order with your
    CREDIT CARD or CHECKING ACCOUNT.

    CHARGE THESE CREDIT CARDS THROUGH "PAYPAL"

  • Visa
  • MasterCard

    If you are having any problems with processing,
    call "PAYPAL"  Direct TOLL-FREE at : 1-888-221-1161


    -OR-

  • PLEASE MAKE CHECK/MONEY ORDER PAYABLE TO :
    " HEALTHY CLEAN BUILDINGS "

  • Check Money Order Pay Pal (Credit Cards are processed via PayPal!

    3) FREE GIFT CHOICE
    (available with first purchase over $150.00)

    First Choice: Calculator Pocket Knife Socket Set
    Second Choice: Calculator Pocket Knife Socket Set



    4) YOUR RESIDENTIAL ORDER

    QTY.

    DESCRIPTION

    WEBSITE PRICE

    Basement Enhancement $122.95/kit
    Bathroom Cleaning $64.45/kit
    Carpet Cleaning $99.90/kit
    Driveway/Garage Floor Enhancement $40.75/kit
    Floor Cleaning $134.80/kit
    General-Purpose Cleaning $85.90/kit
    Odor Control $134.20/kit
    Oil Burner Puff-Back/Soot Removal $89.90/kit
    Outdoor Furniture/Decking Enhancement $68.75/kit
    Pet Odor/Stain Removal $88.74/kit

    *KIT PRICES DO NOT REFLECT SHIPPING & HANDLING CHARGES ( $16.95 per kit ) and Sales Tax ( if applicable ) .




    5) ADDITIONAL COMMENTS


    REMINDER - Please order by: (1) Printing out the completed form, and faxing to:
    1-631-643-4649;
    (2) Calling us at: 1-631-643-1882 ; or
    (3) E-mailing us your information to: healthycleanblgs@gmail.com

     

    VISIT US AGAIN SOON!




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