New Service Appointment Quote

Customer Name

Physical Address

Phone # (cell)

Phone # (home)

Preferred Contact Info

Client Name

Client Address

Client Phone #

Type of appointment

Appointment address

Appointment time

Appointment details

Requested start time

Client assistance needs

Emergency contact person

Emergency Contact Phone Number

Special notes - what do we need to know, to best prepare for client assistance e.g, memory challenges, physical restrictions? Description:

NOTE: Ken Cares does not provide a wheelchair lift vehicle

( Pro rate announcement – Pending )

How does Ken Cares Charge for Service.

PRICE QUOTES: $38.00 per hour – minimum two hours – Details from the work order are used to determine approximate total time and Quoted Accordingly.

DISCLAIMER: Any additional hours do to factors out of our control e.g., Traffic delays, detours, road closures, including any requested additional stops.

New Service Appointment Quote

(571) 436-3617

[email protected]

Serving Sterling, VA and surrounding areas