CONSIDER IT DONE ERRAND & CONCIERGE SERVICES
NEW CLIENT FORM
Name______________________________________________________________________
Address____________________________________________________________________
Major Cross Street___________________________________________________________
Home Phone______________________________ Cell Number ___________________
Pager Number_____________________________ Fax Number____________________
Work Number___________________________________ Ext.________________________
E-mail Address_______________________________________________________________
Occupation__________________________________________________________________
How did you hear about Consider It Done?_______________________________________
Who should I contact in case of an
emergency?
Name_______________________________________ Relationship___________________
Contact Info._______________________________________________________________
Family Members who reside with you?
Name_____________________________________ Relationship____________________
Birthdate____________________________________ Anniversary ____________________
Other Info.__________________________________________________________________
Name_____________________________________ Relationship____________________
Birthdate__________________________________ Anniversary _____________________
How many pets do you currently have: None 1 2 3 or more
Pet(s) Name:_______________________________________________________________
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| Appointment Making | ||
| Banking | ||
| Bill Paying | ||
| Car-Related Services | ||
| Courier Service | ||
| Delivery/Service Wait | ||
| Dry Cleaning Pickup/Delivery | ||
| Drug Store Purchases | ||
| Entertainment Services | ||
| Fax Service | ||
| Flower Pickup/Delivery | ||
| General Errands | ||
| Gift Wrapping | ||
| Gift/Personal Shopping | ||
| Grocery Shopping | ||
| Home Organization | ||
| House Sitting | ||
| Internet Research | ||
| Item Returns | ||
| Meal Pickup | ||
| Movie Rental Dropoff/Pickup | ||
| Party/Event Planning | ||
| Pet Sitting | ||
| Pharmacy/Prescription Pickup/ Drop-off | ||
| Post Office | ||
| Referrals | ||
| Teacher Concierge | ||
| Ticket Arrangement | ||
| Thank you/Invitation Writing | ||
| Travel Planning | ||
| Waiting Repairman/cable person | ||
| Wedding Services | ||
| Other | ||
PAYMENT INFORMATION:
| How will you be paying: | CASH | PERSONAL CHECK | MONEY ORDER |
NOTES:____________________________________________________________________
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Consider It Done Signature
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Client Signature