Enquiry Application Form
For an indicative quote, the following information is required:
*
Your name
*
Email address
Phone number
Address
*
Suburb
Postcode
*
Service Frequency
Weekly
Fortnightly
Monthly
Once-off
*
Number of hours per service
*
Payment Options
Direct to cleaner (Cash receipt issued)
Direct to Agency (Tax invoice issued, charges & conditions apply)
Monthly billing arrangements (only available to approved applicants, charges and conditions apply)
Size of Property
Number of Occupants Adults
1
2
3 or more
Number of Occupants Children
0
1
2
3 or more
Pets
Reason for Service
Time Poor
Injury
Not coping
TAC
WorkCover
Other
Comments
*
Where did you hear about us
Leader
Yellow Pages - Melbourne
Yellow Pages - Local
YP Online
Google Search
True Local
Other Internet Search
TAC
WorkCover referral
Referral
Other
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