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Required information.
Your Name
*
Business Name
Address
Suburb
*
State
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NSW
VIC
QLD
TAS
SA
NT
WA
ACT
Postcode
*
Contact Number
*
Mobile Number
Email
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Type of Premises
*
Residential
Commercial Centre
Office
Factory
Type of Building
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Single storey
Double storey
More than 2 storey
Shopping Centre
Flats/Units
If Unit, Stairs / Lift
N/A
Stairs
Lift
Number of Bedrooms or Offices
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1
2
3
4
5
6
7
8
9
N/A
Size of Bedrooms or Offices
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Small
Medium
Large
One Medium Bedroom, other rooms small
Two Medium Bedrooms, other rooms small
Three Medium Bedrooms, other rooms small
Four Medium Bedrooms, other rooms small
One Large Bedroom, other rooms Medium/small
Two Large Bedrooms, other rooms Medium/small
Three Large Bedrooms, other rooms Medium/small
Number of Bathrooms
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1
2
3
4
N/A
Number of Separate Toilets
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1
2
3
4
N/A
Number of Kitchens
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1
2
N/A
Number of other Rooms (lounge rooms/rumpus/etc)
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1
2
3
4
5
N/A
Type of Flooring
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Wooden
Tiles
Carpet
Mix of Carpet and Tiles
Other
N/A
Number of Adults
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1
2
3
4
5
6
7
8
N/A
Number of Children
*
1
2
3
4
5
6
7
N/A
Number of Pets (Cats/Dogs)
*
N/A
1
2
3
4
5
6
7
Preferred Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any weekday
First available time
Services Required
*
Home cleaning on regular basis
Home spring clean
End of lease clean
Builders clean
Office and commercial cleaning
Window cleaning
Carpet Cleaning
Frequency
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Weekly
Once Off
Daily
Fortnightly
Monthly
Yearly
Comments or Special Requirements
Normal Payment Method
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Credit Card
Cash
Cheque
Direct Deposit
Paypal
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