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• Shopping Service
• Shopping Companion
• Outing Companion
• Prescription Pick up
• Personal Assistance
• Domestic Cleaning

BOOK A SERVICE

      Your name   

                  Title  

      Resident?   

  (Yes if you live in Sheltered Housing, Retirement Centres or Nursing Homes)

      Do you have a disability?   

          Are you over 65? 

      Your email address   

      Your phone number   

        Confirm phone number   

          Postcode     House/Flat   

      Kind of Service   

      Date    /   at 

      Payment Method   

      Extra information   
(optional)    


                              








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