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Gift Certificate Information Page
Order Form for Carolina Maids Gift Certificate in Durham-Chapel Hill
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Required Entry
Certificate Buyer Info
This Is Your Info
Full Name
*
Street Address
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City, State and Zip
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Phone Number
*
E-Mail Address
*
Confirm E-Mail Address
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Certificate Recipient Info
This Is Who it is going to.
Full Name
*
Street Address
*
City, State and Zip
*
Phone Number
*
E-Mail Address
*
Confirm E-Mail Address
*
Cleaning Type and Nr. of hours.
Select Type of Cleaning
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General Cleaning ($30 per hour)
Move In/Out Cleaning ($35 per hour)
Select number of hours
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2 Hours
2.5 Hours
3 Hours
3.5 Hours
4 Hours
4.5 Hours
5 Hours
5.5 Hours
6 Hours
6.5 Hours
7 Hours
7.5 Hours
8 Hours
8.5 Hours
9 Hours
9.5 Hours
10 Hours
10.5 Hours
11 Hours
11.5 Hours
12 Hours
12.5 Hours
13 Hours
13.5 Hours
14 Hours
14.5 Hours
15 Hours
15.5 Hours
16 Hours
16.5 Hours
17 Hours
17.5 Hours
18 Hours
18.5 Hours
19 Hours
19.5 Hours
20 Hours
Enter Your Gift Certificate Message Here:
Select Where to Email the Certificate:
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Recipient
Buyer
Both
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