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* *


 Application for septic tank cleaning


* *


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Septic tank cleaning hope day and time zone and cleaning method








Explanation of septic tank cleaning



About the use of the septic tank



Method of water -lined



Mail address that can be
reported


(*)
Furigana name(em-size
Japanese syllabary)


(*)
Customer's name

(*)
ZIP code

 (*)
Address of bill sending out

 (*)
The septic tank is things
except the address


Telephone number that can
be reported


 (*)
Kind of septic tank

(*)
Person tank in septic tank
(for people how many)


(*)
Septic tank check trader's
presence


It is. It is not. (*)
Septic tank management
company name


Septic tank cleaninghopeday
(Manse)


1st choice
2nd choice(*)
Septic tank cleaning hope
day(day)


1st choice
2nd choice(*)
Cleaning hope time zone

 
(*)
It is presence of the
cleaning hope during the
absence


It is.  It is not.(*)
It is presence of the water
service faucet in the outside


It is. It is not. (*)
Presence of pay water -
lined hope


It is. It is not. (*)
Notes etc. : for the cleaning.






Please fill it in when is.




The water -lined is a thing, and a child, etc. from whom the septic tank and the environment in the customer have the concern. It drinks and it goes
for the fall accident prevention and the damage accident prevention of the septic tank. It descends.




When our company fills it with water, ..water -lined.. ..staff.. septic tank even of completion.




To work, the water -lined is assumed to be charged taking the responsibility without leaving the side. It must get and I will understand.




The septic tank cleaning when it is absent comes for our company to do the water -lined in charge.




The change in the date when other customers have been previously reserved at the hope date




I hope the degree that the asked thing humbly understands.



(*)Please drink and input Cou eyes.





 


Please fill in a necessary matter after downloading the PDF file that is below
and fax the person who hopes for the cleaning request to use the fax.

ransmissionseptictankcleaningrequestdocument.pdf


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* The person who uses the e-mail software that doesn't correspond to the mailto tag such as PostPet


[ Mail Sending ] button cannot be used.Without using this form


Please click the followingseptic tank cleaning request.


According to the above-mentioned content because the e-mail software used stands up


Please fill in, and transmit to our company.










* E-mail software that uses whether mail was correctly transmitted for confirmation




Please confirm the transmission history etc.  







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