For Your Convenience, Please Print this page and Fax to (780) 487-1872
| Name: | _________________________ | Address: | ______________________ |
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City: |
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Postal Code: |
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Home Phone: |
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Work Phone: |
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Email: |
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Best Time to Contact You? |
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How did you hear about us? |
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SERVICES:
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any 3 Services for $16.50 Per Hour + GST Add-On Any Service for $1.00/each Per Hour + GST |
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| Light Housekeeping | Light Meal Preparation | |||||||
| Laundry | Assistance to Doctors, Errands, etc. | |||||||
| TLC Call A Day | Companionship Visit | |||||||
| Light Yard Work | Client Pet Care | |||||||
| Tuck-In at Night | Early Morning/Evening Adult Assistance | |||||||
| Early Morning/After School Child care | ||||||||
| ADDITIONAL
SERVICES: Choose any service below - Rates will be Quoted Upon Your Request |
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| Full Meal Preparation/Weekly Menu Preparation | Major Home Repairs | |||||||
| Complete House Cleaning | Minor Home Repairs | |||||||
| Relocation Assistance | Child Care (Sitters) | |||||||
| Live-In Care/Respite (Temporary & Full Time) | Lawn Care / Snow Removal | |||||||
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An In-Home Consultation must be booked to assess your needs and provide an accurate quote. *
Minimum Care Time - 3 Hours |
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