Forms

Pressure washing form created on 10/30/2019

~ = Required fields & should not show “~” character but should show standard character of “*”
All BOLD QUESTIONS & LETTERS should be bold. Ctrl+B
() = Questions & content between these (HASH) marks are directions for developer only and are not to be printed on form.
Questions 1, 2, 4, 5, & 6 are the same as form on page www.myols.us/deluxe-detail for reference on sign-up form for car wash/detail.

1) Your contact information:

~First Name:
~Last Name:
~Home Address – Street # & Name:
~City:
~State: Georgia
~Zip Code:
~Email:
~Phone #:
Preferred contact method for appointment confirmation:
 >O Phone
 >O Email
~2) Is the home address above where you would the service completed? (Dropdown selection of >Yes/>No)
> Yes = Go to Question #3
> No, I need to add an address = >>
 >> Is this a business location? (Dropdown selection of Yes or No)
> Yes = >>>
 >>> Name of Business:
 >>> Street # & Name:
 >>> City:
 >>> State: Georgia
 >>> Zip Code:
> No = >>>
 >>> Street # & Name:
 >>> City:
 >>> State: Georgia
 >>> Zip Code:
 >>>
~3) Which pressure washing service would you like to add?(Dropdown selection) (3A.) > Pressure wash my house (> Second drowdown box for > Pressure wash the front, back, & sides of my home = “What is the square feet of your home?” (goes to question “>> What is the square feet of your structure?)  ( If A is chosen & filled out 3A pops up as the next question. “>>>>Would you like to add on a roof Bleach cleaning during this appointment?”), ( B. > Surface Clean Concrete  (>>B1, B2, B3, B4, B5) C. Pressure wash Other (C1, C2) D. Pool (D)
 >> What is the square feet of your home? = >>> (Leave all hash () and directions in >>> below this line)
 >>> 0 – 1,500 (Most single story Ranch Style Homes) = $125
 >>> 1,500 – 2,000 (Most Single story with 1 to 2 car attached garages OR Split-Level) = $175
 >>> 2,000 – 2,500 (Most 3 bedroom 2 Story with 2 car attached garages OR Split-Level) = $225
 >>> 2,500 – 3,000 (Most 2 story with 4 or 5 bedrooms & 2 attached garages) = $275
 >>> 3,000 – 3,500 ( Most 2 story with 4 or 5 bedrooms, 3 attached garages, & basement) = $325
 >>> 3,500 – 4,000 (Most 5 to 6 bedrooms with 3 attached garages, & most likely basement) = $375
 >>> 4,000 – 4,500 = (Most 6+ bedrooms) = $425
 >>> 4,500 – 5,000 = (Most 6+ bedrooms) = $475
 >>> 5,000 – 5,500 = (Most 6+ bedrooms) = $525
 >>> 5,500 – 6,000 = (Most 6+ bedrooms) = 575
 >>> Single-Wide or Double-Wide Trailer = $125
 >>>> ~(3A Add-on option) Would you like to add on a roof Bleaching & Spray Waxing during this appointment? (Dropdown selection for O Yes = > & O No = >>
 >>>> O Yes = >>>>>
 >>>> O No, I do not want to add-on a roof cleaning = Repeat Question #3 Dropdown selections.
>>>>> 1 Story Home = $225
 >>>>> 2 Story Home = $350
 >>>>> 2 Story Home + Basement OR 3 Story Home = $475
 >>>>> 5,000 Square Feet Home or larger = $675
 >>>>> Single-Wide or Double-Wide Trailer = $200
> (3B Option, skipping roof clean) add-on Surface Clean Concrete =>> (Leave all hash () and directions in >> below)
 >> B1. Driveway from Street to Home: = $125 (Up to 1,500 sq ft)
 >> B2. Walkway area (From Driveway to Doorway only) = $50
 >> B3. Driveway & Walkway Combo: $200 (Up to 2,000 sq ft, covers most applications)
 >> B4. Street Curb & Walkway in front of home $65
 >> B5. Rear Patio Area = $45
 >> C1. Outdoor Patio Table & 4 Chairs: = $45
 >> C2. Outdoor Patio Table & 6 Chairs: $55
 >> D. Standard in-ground Pool fenced in area: $165
Combine services 3A, 3A Add-on, B3, & B4 for an entire property clean up and get an extra 10% off! (Should be listed as a special deal as “Get your Roof, Sides, Driveway, Walkway, & Street Curb package for (generates total) if customer selected all services of 3A, 3A add-on, B3, & B4))
~4) What day would you like us to come out and start?
(Preset for arrival time at 8:30am and allow a calendar to select month/day/year)
~5) How would you like to pay for pressure washing?(Mulitple Choice)
O Cash in person after service is complete.
O Check in person after service is complete.
O Free Credit Card transfer using Venmo App
~6) How did you hear about us?(Dropdown Selction)
 O Select
 O Referred by somone = >>
 O OLS Facebook Page
 O OLS Yelp Page
 O Google Search
 O Other
 >> $20 Referral Fee!! Their name? (Listed as sub-context)
Total for your scheduled service:
Schedule My Home Wash with Austin! (Rectangle “submit button” that is burgandy in color, has rounded corners)
(Send e-mail notifications to ols30677@gmail.com)