Supplies Request Form

Please select the number of items needed in each field.

First Name(Required)

Last Name(Required)

Pick up date(Required)

please tell us the day you will be coming into the office to pick up your supplies. Que dia você virá ao escritório para pegar seus itens?

Cleaning Kit Items:

Comet

Bar Keepers Friend

ZEP Stainless Steel Cleaner

Trash Bags

Grout Brush

Rinse Bucket

Melamine Sponges (White)

Disposable Gloves (Small)

Disposable Gloves (Medium)

Disposable Gloves (Large)

Replacement Bottles:

Neutraquat Neutral Disinfectant & Detergent

Clorox Clean-up

Floor-Mate Neutral Floor & Surface Cleaner

ZEP Citrus Degreaser & Cleaner

Blue Juice (Glass-Mate Glass & Surface Cleaner)

Melaleuca Tub & Tile Cleaner

Dawn Dish Soap

Deep Cleaning Items:

Easy-Off Oven Cleaner

ZEP Acid Toilet Bowl Cleaner

Step Ladder

Apron Items:

Toothbrush (Red)

Toothbrush (White or Blue)

Small Whisk Brook

Scrapper

Utility Brush

Squeegee

Washable Shoe Cover $5.00

Other Cleaning Items:

Vacuum Floor Piece $25.00

Microfiber Mop

Bucket

Toilet Brush

Large Extendable Duster (Swiffer)

Medium Extendable Duster (Swiffer)

Small Duster

Feather Duster

Please note: For broken or worn items keep the old item to turn into the office to get your new item. If you lost or misplaced the item you will be required to pay for the replacement.

Notes:

TOTAL NUMBER OF ITEMS REQUESTED

Supplies Request Form

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