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!

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.

Other Important Information:

Winner Selection & Notification: A random winner is chosen monthly from eligible entries and contacted by email, phone, or text. If not reached within three business days, another winner may be selected. Scrub Portland
Scheduling Requirements: The winner must book and schedule the free cleaning within 3 business days of notification and based on staff availability. Scrub Portland
Property Size Limit: Homes 1,200+ sq ft may receive cleaning only in selected areas if deep cleaning is required. Scrub Portland
Non-Transferable Prize: The free cleaning cannot be exchanged for cash or other services. Scrub Portland
Publicity Permission: By entering, participants agree Scrub Portland may use their name/likeness and before/after images for promotional purposes.* Scrub Portland *Always comply with legal limits on photo use per local law.

We Value Your Privacy

Scrub Portland respects your home and personal space. We operate with discretion and care, and do not share personal, identifying, or sensitive information.

Contestant Information

First name

Last name

Yes, subscribe me to your newsletter.

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

Phone

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.

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Scheduling Your Cleaning

First Selection for Appointment

Date and Time Preference

Second Selection for Appointment

Date and Time Preference

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

How long ago was this residence professionally cleaned? What are the areas that need the most attention? (In order of importance).

We require all clients to have a priority list available to our cleaning technicians. Please list a set of priorities.

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

Will you be available during the cleaning? If no, please leave instructions on how we can open/close/secure your home.

Are you Allergic to any Cleaners or Cleaning Chemicals? If no, leave blank.

How did you hear about us?

Feel Free to Attach Files (Not Required)

File upload

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

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Today's Date

By checking this box I am confirming that I am 18 years of age or older when submitting this form and a current resident of Oregon and/or Washington (states).

By checking this box, I grant Scrub Portland permission to take before-and-after photos and/or short videos of serviced areas for marketing and promotional purposes. No personal or identifying information will be shared.

By checking this box, I have read the Terms and Conditions of this Housecleaning Giveaway and understand the conditions therein. I agree to these Terms along with the Terms of the Service that will be provided to me for free.