Name Mooirivier Beskerming Please complete this form if you intend to leave the premises for 24 hours or longer Personal Information Name: * Email * Surname: * Physical Address Please choose one * Home Complex Arrangements during time of absence Time of absence Absent from: * Time of departure: Date return: * Time of return: Keyholder Will you be leaving your keys with a keyholder * Yes No Will the premises be occupied in your absence? * Yes No In Case of Emergency Does the above stated keyholder have permission to make decisions with regards to the property in your absence? Yes No Other people/Service providers allowed on premises Please specify: * Family Members Garden Services Domestic Worker Other Dogs on premises Any dogs on premises? * Yes No Would you like to receive an SMS everytime your alarm is activated and deactivated while you are on holiday? (SMS’s are free of charge) Yes No
