STEP 1: WHO YOU ARE
First Name*
Last Name*
Email*
Phone*
By selecting this option, you agree to receive SMS from Clean Swipe EP for scheduling, updates, offers & feedback. Msg & data rates may apply. Msg freq varies. Reply HELP for help, STOP to opt out. Privacy Policy https://cleanswipeep.com/privacy-policy/
STEP 2: YOUR HOME
Address*
City*
State*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code*
STEP 3: CHOOSE YOUR SERVICE
Type of Service
Type of Service *
Date / Time *
Discount Code (or leave this blank)
STEP 4: SELECT EXTRAS
What else would you like us to know?
where did you find us?
We Would Really Love To Know
Facebook
Google
Instagram
Friend
Business Card
Referral
Does this apply to you? If so we'll apply a discount after booking confirmation
Military/Veteran
Teacher
EMS
STEP 5: SELECT FREQUENCY AND PAYMENT
Frequency of Service *
WHAT HAPPENS NEXT?
Book Appointment
SUB-TOTAL
$0.00
TIP
$0.00
DISCOUNT
$0.00
SALES TAX
$0.00
Your final price is:
$0.00
Prev
Next
April
2025
Su
Mo
Tu
We
Th
Fr
Sa
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3