Please complete and submit the form with as much information as possible ensuring all your details are correct.

(Please note that a site visit will be required to confirm details)

Name

Job Title

Company Name

Address

City/Town

County

Postcode

Telephone

E-mail Address

Frequency of Cleaning

Number of employees on site (approx)

Number of cleaners

Number of Hours Per cleaner per day

Areas to be cleaned & Comments