Housesitters of Canada : Request for Service

THE HOUSESITTERS CANADA
Request A Service
"Ensuring your peace of mind while you are away…"

To request a service via fax please select one our printer friendly versions, otherwise you can use our on-line form below:

House / Pet Sitting (printer friendly)
White Glove Cleaning Service (printer friendly)

Yes! I would be interested in the following services:

House / Pet Sitting

Daily Visits	House/Pet Sitting
Twice Daily Visits	Dog Walking
Every 48 hours	Live-in Housesitting
Twice Weekly
For the following period: Start Date: End Date:
Does your residence currently have an alarm system? YES NO

Do you have any pets? YES NO

If so, please tell us a bit about them:

Breed	Sex	Age	Purebred or Mixed Breed	Spayed / Neutered	Are there any Medical Conditions we should be aware of?
			P / M	Y / N
			P / M	Y / N
			P / M	Y / N
			P / M	Y / N

White Glove Cleaning Service:

Daily Visits	Occasional
Bi-Weekly Visits	One Time
Bi--Monthly Visits	Other:
Monthly
For the following period: Start Date: End Date:
Preferred Day(s) of Week: Mon. Tues. Wed. Thurs. Fri. Sat. Sun
Preferred Time: AM PM Evenings
Approx. sq. footage of home to be cleaned?

Personal Information

	Salutation:
	First Name:
	Last Name:
	Address:
	Town / City:
	Province:
	Postal Code:
	Business Telephone:
	Home Telephone:
	E-Mail Address:

Comments :

This form does not represent or guarantee an actual booking - services are subject to availability. Please fax or email this form to The Housesitters, and a Customer Service Representative will confirm your specific requirements, and provide a formal quotation.

Worry-Free Vacations…Leave Your Pets, Plants and Home to the Bonded Professionals

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THE HOUSESITTERS CANADA
TORONTO, ONTARIO
TEL (416) 423-1251

The Housesitters Canada