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Refer a Client.
We Will Take It From There.
Garden & Home Maintenance Client Referral Form
Tell Us Who You Are:
Your Full Name (Referring Aged Care Coordinator)
*
Company
*
Contact Number
*
Email Address
*
Who we are helping:
Client Full Name
*
Full Address
*
Preferred contact person for site visit
Preferred contact number
Relation to client
Helpful notes
Gardening work required, choose from the following
*
Lawn Mowing
Whipper Snipper Only
Weeding
Light Pruning
Once off Blitz Clean
Reticulation Repair
Reticulation Install
Handyman Service
Other
None required
Home Maintenance work required
*
Repairs and fixes
Basic Plumbing
Paving and outdoor
Safety enhancements
General maintenance
Odd jobs
Other
None required
Frequency of Service
*
Weekly
Fortnightly
4 Weekly
Other
Length of Service
*
1
2
3
4
More
Site visit appointments can be made for Wednesdays. Please give a Wednesday date and times you are available. This will be confirmed once scheduled.
*
HP Name
Leafe Life is Perth's trusted provider of garden maintenance, landscaping, and reticulation services for Aged Care, NDIS, residential, and commercial clients. Grounded in integrity, growing with purpose.
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Perth, Australia
support@leafelife.com.au
Selected images courtesy of
Donna Fortune Photography
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