Registration Form for a Family looking for a Cleaner or Housekeeper

PLEASE FILL OUT THE FORM BELOW

First Name * * Required
Last Name * * Required
Partner's Name
Email * * Required * Invalid Address
Tel * * Required
Mobile * * Required
Address Line 1* * Required
Address Line 2* * Required
Town/City* * Required
Postcode* * Required
Country

Type of help you are looking for:

Regular Cleaner yesno
One-off Clean yesno
Housekeeper Full Time yesno
Housekeeper Part Time yesno
Housekeeper Live In yesno

Number of:
Reception Rooms
Bedrooms
Bathrooms

Tasks you would like the cleaner to carry out:

General Cleaning yesno
Spring Clean yesno
Laundry yesno
Ironing yesno
Carpet Cleaning yesno
Oven Cleaning yesno
Other

Do you have any pets?

Please write clear
directions to your house:

How did you hear
of Jourdain's?:

I have read, understood and agreed to the Terms and Conditions
* You need to agree to the Terms and Conditions

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Registration Form for a Family looking for a Cleaner or Housekeeper

PLEASE FILL OUT THE FORM BELOW

Part time Nannies

Tradesmen

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