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Name: *
Company Name: *
E-mail: *
Contact Tel Number *
Company Address *
Postcode *
Type of premises *	Offices School Factory/Warehouse Shop/Retail/Showroom Bar/Restaurant/Club Health Club/Gym Other
No of employees on site (approx) *	Below 10 employees 10 - 30 employees 30 - 60 employees 60 - 80 employees if 80 plus please specify approx no in comments
Frequency of cleaning *	Monday to Friday Once per week Twice per week Three times per week Four times per week Everyday - 7 days per week Other - please specify in comments
Number of cleaners on site *	1 2 3 4 5 or more - please specify in comments
Number of hours per cleaner per day *	less than 1 hour 1 to 2 hours 2 to 3 hours 4 to 5 hours 6 to 7 hours 7- 8 hours If more than 8 hours please specify in comments
Areas to be cleaned and any comments: