Customer's Reference

Please complete all fields below and supply as much information as possible.
Please use the comments box located at the bottom of this form to supply any additional information that you believe may be relevant or helpful towards the application.

* Indicates required field

Customer Name / Company Name *

Your Name *

Your Position *

Your Phone Number *

Your Email Address *

Professional persons name *

What service do they provide to you? *

How long have you been a customer for? *

How often do you use their services? *

Punctuality rating *

Reliability rating *

Would you recommend their services? *

Overall score for this professional *

Please provide any other comments you wish to disclose about this professional which you feel will help them with their application for the property.

Comments *

I hereby confirm that the information I have supplied within this Customer's reference is true to the best of my knowledge.
All customer's references will be kept private and not shared with any third parties.

Print Name - Digital Signature *

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