Belle Casa - Reliable Domestic Cleaning Services in North Wales

Belle Casa North Wales and Republic of Ireland
Leafleting Application Form:

If you are interested in distributing leaflets to homes in North Wales
or the Republic of Ireland please fill in the following form.

1) Your details:
First Name:
Last Name:
Address:
Telephone:
Mobile:
How old are you?
What is your email address?
2) Travel and Transport
Do you have a car?	Yes No
Which areas of North Wales are you able to distribute leaflets to?
3) Availability:
When can you start work for Belle Casa?
What days and times are you available to work?
- Mondays? (Please list times or "all day" or "not available" )
- Tuesdays? (Please list times or "all day" or "not available" )
- Wednesdays? (Please list times or "all day" or "not available" )
- Thursdays? (Please list times or "all day" or "not available" )
- Fridays? (Please list times or "all day" or "not available" )
- Saturdays? (Please list times or "all day" or "not available" )
- Sundays? (Please list times or "all day" or "not available" )
4) Comments:
Please make enter any additional details you think may be relevent in the box below.