Fist Name *
Last Name *
Business Name (If Applicable)
Main Phone Number *
Street Address *
How did you hear about our disinfecting services? *
What space do you need disinfected?
1 story dwelling
2 story dwelling
Small office space
Large office space
What type of disinfecting service?
Fog/mist with full wipe down
Fog/mist with touch point wipe down
Not sure, need consult
How often would you like our disinfecting services?
One time only
Once per week
Twice per month
Not sure, need a consult
Are you interested in group discounts?
Not sure, I need a consult
Yes, I have fellow businesses in same location looking for same-day service
Yes, I have friends and neighbors interested in same-day service
Yes, I have multiple rental properties in same area
Yes, I am flexible with scheduling and can be a part of another group
When would you prefer your disinfecting service(s) to occur?
At a specific date and window of time (rental exchange date)
Anytime during normal business hours
Anytime before 9am
Anytime after 5pm
Totally flexible, anytime, day or night
440 Eastern Parkway Farmingdale, NY 11735
M-F: 8:30am – 5 pm
***24/7/365 for emergency work