If you would like to sign up for services, please supply the following information and mail or e-mail to one of the following addresses:
Quality Care Unlimited
P.O. Box 143
Hunters, Wa. 99137
or call: (509) 722-3349
Customer Information Sheet
Name _______________________________________
Mailing Address _______________________________________
Physical Address _______________________________________
Phone Number _______________________________________
Weekly Pick-up? Yes No
If Yes, then, More than 2 cans per week? Yes No
‘On Call’ Services? Yes No
Start Date Desired________________
Signature_____________________________ Date____________
(All information is kept strictly confidential.)
For additional information or questions please call 509-722-3349 and ask for Kathy.
Thank You !!