Cleaning With A Meaning
Caring For Families One Home at a Time

Request Service

We are a not for profit organization providing Free house cleanings to families with children diagnosed with a serious illness or that have been in a devastating accident. The cleanings are provided by professional cleaning companies in your local area. If we don't have a currently have a provider once we receive your request our volunteers will find one. All office volunteers and cleaning companies donate there time and talent so that you may focus on family. Please know that we would love to help everyone and in most cases we wil do ur best to find someone to help you. Our primary focus is families and children but feel free to Request Service and give us your need to see if we may be able to assist.

Request Cleaning Services

This information allows us to assign a provider to you in your area. You can ask for service for yourself or someone you know. The only requirement is a Patient Validation form and Patient Agreement. This can be faxed to us at 904-527-8775 or emailed to info@cleaningwithameaning.org Service is provided every two-three weeks for 4 visits at no cost.
When would you like service?
Preferred Date:
Alternate Date:
Square footage:
Levels:
Bedrooms:
Bathrooms:
Dwelling type:
Adults:
Children:

Contact Information
Name:
Service Address:
City:	State: Zip:
Home Phone:
Work Phone:
Mobile Phone:
E-mail address:
NOTE: Please verify your contact information. No validation is performed on your E-mail address.
Preferred Contact Number:
How did you hear about Cleaning with a Meaning?:

Additional Comments
Please provide any additional information or concerns regarding your family needs:

Your contact information will be held in the strictest confidence.