Request form

First Name*

Last Name*

Company*

Phone Number*

Email*

Order Number

Order Name

Address

Type of Application Type of Application Supplement New Cancellation

Number of Shifts Number of Shifts12345

1. Start Date (dd-mm-yyyy)

1. Weekdays (e.g. Mon-Fri)

1. Number of employees

1. Start Time (hh:mm)

1. End Time (hh:mm)

1. Break Regulation (hours)

1. Type of Activity (Cleaning/ Chairs etc.)

1. Recurrence (Once, Weekly, Monthly, ...)

2. Start Date (dd-mm-yyyy)

2. Weekdays (e.g. Mon, Tue, Fri)

2. Number of employees

2. Start Time (hh:mm)

2. End Time (hh:mm)

2. Break Regulation (hours)

2. Type of Activity (Cleaning/ Chairs etc.)

2. Recurrence (Once, Weekly, Monthly, ...)

3. Start Date (dd-mm-yyyy)

3. Weekdays (e.g. Thu, Fri)

3. Number of employees

3. Begin Time (hh:mm)

3. End Time (hh:mm)

3. Break Regulation (hours)

3. Type of Activity (Cleaning/ Chairs etc.)

3. Recurrence (Once, Weekly, Monthly, ...)

4. Start Date (dd-mm-yyyy)

4. Weekdays (e.g. Mon)

4. Number of employees

4. Begin Time (hh:mm)

4. End Time (hh:mm)

4. Break Regulation (hours)

4. Type of Activity (Cleaning/ Chairs etc.)

4. Recurrence (Once, Weekly, Monthly, ...)

5. Start Date (dd-mm-yyyy)

5. Weekdays (e.g. Fri)

5. Number of employees

5. Begin Time (hh:mm)

5. End Time (hh:mm)

5. Break Regulation (hours)

5. Type of Activity (Cleaning/ Chairs etc.)

5. Recurrence (Once, Weekly, Monthly, ...)

Instructions

Remark(s)

Attachment