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Staff required *Registered NurseRegistered NurseCare AssistantSupport WorkerDomestic WorkerAdministrative Worker

Number of Staff Required

Selected Value: 1

Date / Time

Date

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Hours *

Your Name *

Your Role *

Company Name *

Company Address *

Company Email Address - This will be used for invoicing purposes *

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Additional important information that we need to be aware of, special instructions or comments. You can also use this section for block-bookings. *

You agree with our Terms and Conditions: 1) Invoices must be paid within 14 days. 2) Shifts can be cancelled, but no later than 12 hours prior to the shift, or you will be charged 50% of the total cost.

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