Information to Curtain Clean.

Customer Name._____________________________

Who is to be Charged.__________________________________

Postal Address.____________________________________________

________________________________________________________
__________________________________

Ph. NO. Day:_______________  Ph No. eve: ________________

Cellphone: ______________________________

Email Address: ________________________________________

Delivery Address for return of Curtains  ( If different from above.)

_____________________________-________________________

_____________________________-________________________

Tell us about your Curtains.

Do you require a price before we start?  Y/N

How Many ______

Colour _________

Urgency ________

Any problems that would be good for us to know about before we start cleaning.

E.g. wine stains, Cat pee, Coffee stains, body stains, and so on.

Any damage that needs repair.

If you require any alterations to your curtains please tell us here.

Have you emailed Curtain Clean to tell us that they are being sent?   Y / N

If you haven’t please do or phone us so we know to look out for them

PH. 08005790501

Email; curtainclean@callplus.net.nz

Any other information that you would like to tell us so we can give you our best customer service.

Person responsible for this information.

Name.      ___________________________

Signature.___________________________

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