|
| If Short Term Suspension, Suspend: OR List Days and Dates of Suspension: |
| Change of Day: Please put me on a waiting list for : |
| Change of Start Time: Please see if you can change my start time to: |
| Change of Cleaner: Please change me to a different cleaner because: |
| Change of Hours: Please change my hours to: hours per session. |
| Change of Frequency: Please change my frequency to: |
| Special Instructions / Notes / Comments: |
