Formulario de Registro | Prime Facility Services

1. Service Type*

2. Request Type*

3. Priority*

4. Requested Service*

Section 2: Client Information

💡 Optional: Do you have an existing client account? Get quick access with a verification code.

5. Client Name*

6. Client Title

7. Email*

8. Phone Number*

9. Company Name*

10. Company Address*

11. Is this a new client?*

12. Site Visit Conducted

14. Invoice Frequency*

15. Contract Duration

Section 4: Economic Information

16. Seller

17. Prime Quote Price

18. Janitorial Services

19. Hoodvent & Kitchen Cleaning

20. Include Staff?

25. Site Observation

26. Additional Comments

27. Email Information Sent

28. Scope of Work (select applicable tasks)

29. Upload or take photos

📸 Click the button below to upload photos related to the service request

30. Document Date *

31. Work Date *

Order Nomenclature (auto-generated)

Format: [Service Type Initial][Request Type Initial]-[Order Number][MMDDYYYY]

30. Service Status

Registration Form