Fini Concierge | Client Profile Form

etting to know you helps us provide you with better services. Fill out the form below, or get a printer-friendly (PDF) form and fax or mail it to us.

		Personal Information
	Name:
	Home Address:
	Home Address 2:
	City:
	State:	Zip:
	Where is your home (Boston or Cape Cod)?
	Home Phone:
	Cell Phone:
	E-mail:
	Work Address:
	Work Address 2:
	City:
	State:	Zip:
	Work Phone:
	Preferred Method of Contact:	Cell Phone Home Phone Work Phone Email
	Birthday:	Month: Day:

		Family Information
	Family Members' Names:
	Pets:

		Other Information
	How did you hear about us?	Web site Referral Advertisement Mailing Other
	I am most interested in:	Errand service Personal shopping Event planning Other:
	I/we:	Travel frequently Entertain frequently Need someone to coordinate various aspects of life
	I imagine that I will utilize Fini Concierge approximately:	Occasionally 1-4 hours/month 4-8 hours/month 8-12 hours/month 14+ hours/month
	I would prefer:	My credit card be charged To pay by check

Privacy Policy:
We will never sell or barter your personal information to any other organization without your specific permission.