Name:


Company Name:


Email:


Telephone:


Mobile:


Address:


Frequency of Service:
Monday to Friday Every 7 Days Other (specify in other comments)

Times of Cleaning:
Early Mornings Evening/Night Time Daytime

Number of Employees:


Type of Premises/Industry:
Offices Factory Warehouse Showroom School Restaurant Healthclub Bar/Club Other (specify in other comments)

Area of Premises (approx):


Number of Cleaners:


Hours per cleaner per day:


Areas to be Cleaned:


Other Comments: