| Required fields are in BLUE |
|
- Customer must provide access panel location information for pricing
- Offer valid for 30 days
- Accounts that have not remained on a regular cycle frequency or have substantial buildup may be subject to a first time fee
- * Required
|
| Estimate Form |
| Restaurant Name:*
|
|
Billing: |
|
| Address:* |
|
Address: |
|
| Phone Number:* |
|
Phone Number: |
|
| Contact Name:* |
|
A/P Name: |
|
| Contact Number: |
|
A/P Number: |
|
| Email Address * |
|
| Directions: |
|
| |
| Additional Information |
| Type of food prepared: |
|
| |
| Type of equipment used: |
|
| |
| How do you cook: |
|
| |
| How did you hear about us:
|
Please enter details of the search string used, who referred you or
other method used to find us:
|
| |
| Date of Bid: |
3/12/2008 |
Payment Terms: |
To be determined |
| |
| Complete Vent-A-Hood System Cleaning: How many systems does your restaurant have? |
| Hood/s |
|
|
|
| Duct/s |
|
|
| Fan/s |
|
|
|
| Filter/s |
|
|
|
| Access Panel/s |
|
|
|
| Description: |
|
| |
| Cycle Frequency: How often do you want your systems cleaned? This Section is Required |
|
| |
| When was your last cleaning?
A Required Field |
| |
| Building Structure: Describe your building structure. This Section is Required |
| How many stories high is your building?
|
| What type of building is your restaurant in? |
| Â |
| |
| Additional Services: Select the additional services below. |
|
|
|
|
|
|
|
|
|
|
|
|
| |
| |