Client Information and service form

First name *

Last name *

Email Address (Required for invoicing and processing quotes) *

Phone number

Address: *

Street address *Street address line 2

City *

State *

Postcode *

Preffered method of communicating *

EmailTextPhone

Do we need to change how we communicate to suit disabilities?

How did you hear about us?

If you wish to supply Proud Aquariums with a picture of your tank feel free to add it below.

Tank/Aquarium pictures

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After completing this form our admin team will be in touch to complete a risk assesment. They should be in touch via your preffered communication method within 24-48 hours.

Do you agree to provide these details to Proud Aquariums? *

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Terms of service

By completing this form you accept to pay all valid invoices by the due date and that any discrepancies within the invoice is brought to proud aquarium's attention within 5 business days of the invoice issue date, invoices can only be sent by email. Feedback provided by client's and the community either anonomously or not are taken into account with all future services and business runnings.

By completing this form proud aquariums agrees to maintain correct and detailed invoices, fix any discrepancies within 5 business day and inform the client of any price changes in writing with 30 days notice. Proud aquariums will provide service as needed by the client mentioned above, if the client wishes to cancel a service they may at any time. Same day cancellations incure a 75% cancelation fee of the total invoice.

Use of improper language and agression towards our team will not be tolerated and will result in services being terminated.

All discounts provided by proud aquariums are once off unless specified otherwise.

Do you agree to have photos and videos taken of your tank to be used in social media and advertising.

Start date of agreement *

Please note that this agreement expires after 12 months from the start date. You do not need to have continuous services for the full 12 months.

Do you agree to the terms of service as mentioned above? *

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Optional Feedback form link

https://proudaquariums.snapforms.com.au/form/feedback-form