Emergency Cleaning Form
Please fill this form below for your inquiry
Full Name
*
Please let us know your full name.
Company Name (Optional)
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Your Email
*
Please let us know your email address.
Mobile
*
Please let us know your mobile phone number.
Telephone
*
Please let us know your telephone number
House/Building Number
*
Please let us know your house/building number.
City/Town/Village
*
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Postcode
*
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Am interested in
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Flood & Fire (Emergency) Services
Others
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Type of Premise
*
Landed Property
Condominium
Office
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How many hours ago this accidents happened?
*
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What was the water height?
*
below 1ft
below 2ft
above 2ft
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Have you inform all your important clients, your operation will be stopped for temporary?
*
Yes
No
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Have you inform your Insurance agent & make photo available for claims?
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Yes
No
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Do you have carpet?
*
Yes
No
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Who else beside you, we can contact? (Name & Contact)
*
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How should we contact you?
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Phone
Email
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Message (Optional)
Please let us know your message.
Enter the code
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