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New Client Registration Form - General

Please spend a few minutes completing our client registration form, as it will help us match a suitable Cleaner to your requirements all details are of course confidential will used by Gen122 Services solely for this purpose.
Contact Details
First Name
Surname
Address
Postcode
Daytime Telephone (+code)
Evening Telephone (+code)
E-mail address

About your Property

  
Property Type:
Office Block Private Home
 
Shop Restaurant
Number of Reception Rooms:
Number of Office Rooms:
Number of Toilets:
Number of Bathrooms:
Number of Floors:
Nearest Tube Station:
Bus Routes:
Services Required  
Spring cleaning Office Cleaning
Hotel Cleaning Window Cleaning
Carpet Cleaning Washing
Ironing Event Cleaning

About Your Cleaner
Type of Contract Cleaner
Permanent Temporary
Age Range
18-24 25-35 35+
Smoking
No Preference Non Smoker Smoker
Placement
Daily Weekly Monthly
Days & Times preferred
Monday AM PM
Tuesday AM PM
Wednesday AM PM
Thursday AM PM
Friday AM PM
Saturday AM PM
Sunday AM PM
 
Date you want Service to Commence:
I have read the Agency's terms and condition and by submitting this form I agree to this terms.
 
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