Name

Address

Home Number

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Fax

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Please select how many hours and which day you prefer to have the Service. Please let us know if you are flexible with day and the time.

Booking 2.0 hrs2.5 hrs3.0 hrs3.5 hrs4.0 hrs4.5 hrs5.0 hrs5.5 hrs6.0 hrs6.5 hrs7.0 hrs

Working day Monday Tuesday Wednesday Thursday Friday Saturday

Time 08:00 am09:00 am10:00 am11:00 am12:00 pm01:00 pm02:00 pm03:00 pm04:00pm05:00 pmLater

Are you flexible with times and days? Flexible with timesFlexible with day(s)Flexible with times and day(s)Fixed booking

Fortnightly Service? Yes (min 3hrs +£1/hr to cleaner) No

Keys supplied? Yes No

Customer Preferences