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Contestant
Information

Important Giveaway Reminders

Please fill out the form below to the best of your ability. We do not sell, exchange, or give away your personal information to any third party companies. All information is kept private in our database and is only used for newsletter notifications in the form of electronic mail. Please be sure to check the

'Subscribe me to your Newsletter.' box. An email notification will be sent on or before the 5th of the following month announcing the winner. If we are unable to get ahold of the winner, another winner will be selected in good faith. Good Luck to all contestants whom apply!

Image by Jason Briscoe

Due to the high volume of appointments this form is now closed. Please check back with us again again next year!

Contestant Application for Services

Thank you for taking the time to apply to our free house cleaning giveaway! Please be advised this service is only available to Residential properties only, we do not offer this service on a commercial level.

Contestant Information

By providing your email, you consent to receiving marketing emails and promotions. You can unsubscribe at any time.

By providing your phone number, you agree to receive text messages (SMS) from Scrub (Portland) Cleaning Services. You can unsubscribe at anytime by replying STOP. Message and data rates may apply. Message frequency varies.

My Preferred Contact Method
Birthday
Month
Day
Year
Multi-line address

Scheduling Your Cleaning

First Selection for Appointment

Second Selection for Appointment

If your first appointment time and day are not available, we require a secondary choice that best suites the needs of our clients.

Residence Information

Please list these priorities and tasks in DESCENDING order, with your first tasks being the most important and your last task being the least important.

Feel Free to Attach Files (Not Required)

By signing this form, I confirm that I am the authorized person who will be receiving cleaning services if I am selected as the winner of the giveaway contest.

Authorization for Services

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