Drivezruz Acceptance Form – Binzruz Wheelie Bin Cleaning

Having read through the quote pack and decided the work you'd like, please complete the acceptance form below. We will get in touch with you to arrange the work at a suitable date and time.

Name

Address

City

State/Province

Zip/Postal

Mobile Number

Block Paving (Front)

Phase 1 and 2

Phase 2 only

Patio Rear cleaned and treated

Phase 1 and 2

Phase 2 only

Soft Wash Alternative (+20% extra to the price where treatment is required on Patios/Driveways)

I require the safe wash alternative to biocide, (an organic alternative recommended for customers with pets)

This is optional but is designed for surfaces where pets would walk on

SDS* Sheets / COSHH** paperwork

I require the relevant paperwork for my records on job acceptance

Optional - *SDS=Safety Data Sheets for Chemicals / **COSHH=Care Of Substances Hazardous to Health

Payment Preference

Cash

Bank Transfer (+20% VAT to be added to the final bill)

Acceptance

I’m fully satisfied that the information given, the care taken and the relevant risk assessment/PPE have been observed and overcome, and procedures explained in adequate detail and I accept the cost break down provided.

Signature

Clear

If you are human, leave this field blank.