[PLEASE...PRINT, COMPLETE AND RETURN THIS FORM TO THE FRONT DESK BY OCTOBER 4]

THE LAUREN, A CONDOMINIUM
1301 TWENTIETH STREET, N.W.
WASHINGTON, D.C. 20036
(202) 659-9483

WINDOW CLEANING

I hereby authorize cleaning of window(s) and /or screen(s) in unit (#________)
Capon Cleaning Contractors.

Number of 3 panel windows (@$29.61) __________

Number of 2 panel windows (@$17.98) __________

Number of Screens (@$17.98) __________

Total cost __________

Payment: (check one option)

Enclosed __________

At time of __________
service

__________________________________________
(Date)

__________________________________________
(Print Name)

__________________________________________
(Signature)

NOTE: Windows may be cleaned without having screens done; however, if screens are done then windows must also be cleaned.