BOOKING QUOTATION & DEPOSIT

Given Name:  dapoxetine tadalafil combination side effects
Family Name:  sildenafil & dapoxetineGL
Mobile Numbe: 84641641888
Email Address:  Outfift@mailport.lat
Home or Office Number:  1887

SERVICE ADDRESS
Floor: 
Flat Number/ Letter: 9800
Tower / Block: 
Street Number or House Number: Orange Walk
Street / Road Name:
Building Name:  12
Village Name: 
District: District
Google Map Link/Pin:

PREFERRED DATE(S) & TIMING(S)
First Preference:  1982-02-03 – Flexible
Second Preference: 1987-06-03 – Flexible

AIR CONDITIONER DETAILS
Split type AC:  
Window type AC:  
Fan Coil type AC: 
Cassette type AC: 
Any Split-Type ACs that are recessed and/or located behind grills? If Yes, how many?  – – O
Any ACs located more than 4 meters above the floor? If Yes, how many?:  – – O
Any stairs to access your residence/business?:  –
Any children’s nap times that we should take note of?  — Start: – Finish:
When was the last time that all of your ACs were professionally cleaned?:  5 months ago
Any water pump installed inside a false ceiling?: –
Any AC water leaking/dripping issues?:  – – O
Is there Visitor Car Parking available?  – – 30/h

OTHER SERVICES
O

AC is noisy
Repairs & Installations (Please provide full details in the ‘Other Notes’ field below)

ADDITIONAL INFORMATION
How did you hear about us?:  Other Facebook Groups
Custom / referral:  
Repeat Customer?: –
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PREFERRED CLEANING PRODUCT: –