Direct Debit Payment For Oliver James - Window Cleaner If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required First Name * Last Name * Address * Post Code * Landline Mobile Email * 6 Weekly, 12 Weekly, or not specified? 6 Weekly12 WeeklyNot Specified Property type (please choose from the Drop-Down Menu) * Terrace / End Terrace Semi-Detached: 3 bedroom Semi-Detached: 4 bedroom Semi-Detached: 5 bedroom Detached: 3 bedroom Detached: 4 bedroom Detached: 5 bedroom Semi/Detached: 6 bedroom Town House Apartment Does your property have an extension? * YesNo Does your property have a Conservatory? * YesNo Access to back of house: Does the property have outside access to the back via a gate? * YesNo Extras Required on first visit Gutters CleanedFascia CleaningConservatory Roof Package Discounts - Repeat your extra's for big discounts Gutters OR Fascias Yearly 20% offGutters AND Fascias Yearly 30% offConservatory roof yearly is 20% offConservatory roof six monthly is 30% offConservatory Roof Quarterly 40% offNot Required Leaflet CodeIf you have received a leaflet please enter the leaflet code number that is printed on the leaflet (leave blank if no leaflet received) Referral CodeIf you have a refferal code please enter the referral code (leave blank if no refferal code received) Additional Comments I consent for my data to be saved for the purpose of cleaning my windows and will not be sold or released to third parties YesNo Step 2 Once you complete the Direct Debit form that's it! Once you've completed, you will receive a confirmation email letting you know of all the details and costs, and we will text informing of when the visit will be around your area. Payment will be taken 3-5 days after your first clean! We look forward to seeing you!
