48 Marsden Ln Kelso NSW 2795
contact@aufirstclasscleaninggroup.com.au
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0489 066 764
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After Builders Cleaning
Commercial Cleaning
Medical Centre Cleaning
Pressure Washing
Warehouse Cleaning
End Of Tenancy Cleaning
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Carpet Cleaning
Green Cleaning
Move Out Cleaning
School Cleaning
Church Cleaning
Warehouse Sweeping
Window Cleaning
Gym Cleaning
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NDIS Cleaning
Strata Cleaning
Office Cleaning
Warehouse Floor Scrubbing
Kitchen Cleaning
Contact
NDIS Cleaning Booking
Need Service or
an estimate?
Call
0489 066 764
Or today
or fill out the form Below
"
*
" indicates required fields
NDIS Participant Name
*
First
Last
Participant Date of Birth
*
MM slash DD slash YYYY
NDIS Number
*
Representative Name (if applicable)
First
Last
Phone
*
Phone number of the primary contact for this service.
Email
*
Email address of the primary contact for this service.
Address of the Property to be Serviced
Please let us know the exact address of the property so we can check availability for your cleaning service.
Street Address
*
Suburb
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Details of your NDIS Plan
Please let us know the details of your personalised NDIS Plan.
Name of your Plan Manager (if applicable)
First
Start Date of NDIS Plan
*
MM slash DD slash YYYY
End Date of NDIS Plan
*
MM slash DD slash YYYY
Do you want your agreement to end before your NDIS plan?
*
(Recommended) No, I want it to run as long as my plan is active.
Yes, I would like my service agreement to end early.
How do you pay your NDIS Providers?
*
I have a plan Manager who pays my providers
I pay my provider and request reimbursement
The NDIA pays my provider directly
What is the best email address for invoices to be sent to?
*
(If you have a plan manager please enter their email, if you are NDIA or self-managed please enter your own email.)
Has a Maid2Match Team Member assisted you in completing this form? If so, please put their name below.
First
NDIS Services You Are Requesting
Please provide details about the property that is being serviced.
How many hours would you like to have a cleaner for?
*
2
3
4
5
6+
How often would you like to have a cleaner?
*
Twice Per Week
Once Per Week
Every 2 Weeks
Every 4 Weeks
One Time Service
What are your preferred day/s and time/s for your service?
*
Please note that we do not currently provide services on weekends.
What is your preferred method of communication about your cleaning service?
*
We try to stick with your preferences unless the situation is urgent.
Email
Phone Call
SMS
What is your preferred time of day for communication about your cleaning service?
*
We try to stick with your preferences unless the situation is urgent.
AM
PM
Please give some thought to providing us with any specific details you would like us to know about your participant. This helps us provide the best house cleaning experience possible.
*
Do you have any gender preference for your cleaner? Will there be any pets at the property? Is there anything else you would like us to know that might be help
How did you hear about us?
*
Word of Mouth
I have other Participants utilising Your Service
I Used Your Service Previously
Online Provider Finder Service
Social Media
The NDIS reffer me to You
Who are You ?
*
Participant
Plan Manager
Support Coordinator
other
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