Service Enquiry Form

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Contact Information

This information will be used to contact you about your service.

Service Requirements

Please select the service that best suits your needs.




Service Frequency

Please select the frequency that best suits your needs.



What are your preferred cleaning days?

Please select the option that best suits your needs.

What are your preferred cleaning times?

Please select the option that best suits your needs.

How many hours do you require?

Please choose how many hours per visit you require.



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Hours Per Visit.
How did you hear about us?

Help our marketing team by selecting the appropriate option.

Data Protection Agreement
I give consent to Rosa Clean LTD & Rosa Group LTD to use my personal information to administer my account and to provide the products and services I request.

I give consent for my data to be used by the staff and cleaning team of Rosa Clean LTD and Rosa Group LTD to contact me about my enquiry and bookings and to carry out the services I request.

I understand that if in future I would like to withdraw my details from the system I must return to this website and access the Data Withdrawal Form.

From time to time we can contact you with details about our business, it’s services, and any offers we may have. If you consent to us contacting you for this purpose, please tick to say how you would like us to contact you:

EmailTelephoneText Message

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