PLEASE NOTE: We "do not" require payment over our website to sign-up.  We will call you after you submit your online sign-up to obtain payment.

Company Name:

Company Comments: (i.e. Company contact info if different from below, etc)

***If you are a landlord the following needs to be the tenants info.***

First Name    Last Name:

"Anchorage area only"  (For Mat-Su Valley click here)

Daytime Phone #

Home Phone #

Cellular Phone #

The best telephone # to reach me at between 8:AM and 6:PM Monday through Friday is: Please Select Daytime Phone # Home Phone # Cellular Phone # Daytime or Cellular # Home or Cellular # Any

Email Address

(We will never sell or provide your email address to "anyone".  We only use it to communicate with you.)

Is there anyone else that you want authorized on the account? If so, please complete the following:

First Name      Last Name:   Contact Telephone: 

Service Address

Street Address

City

Zip

Directions to your home: (Please note that we need VERY detailed instructions for Elmendorf and Fort Richardson.)

Please describe your house. (i.e. Color of home and trim, number of garages, white picket fence, etc.)

Is your street address also the mailing address? Please Select Yes No

Mailing Address (Please skip if your street address is also your mailing address)

Mailing City

Mailing Zip

What type of home do you have? Please Select Mobile Home Condo with private yard Condo with community yard Townhome Zero Lot Line Duplex Tri-Plex Four Plex Other Multi-Family Apartment Building Single Family Home Other

Other:

Dog(s), Yard and Service Information

Number of dogs at your residence? Please Select 1 Dog 2 Dogs 3 Dogs 4 Dogs 5+ Dogs

What type and size of dogs do you have? (Include weight)

What are your dogs names?

My dogs are usually Please Select Inside when I am home but, out when I am not Always Inside Always Outside No pattern - In and Out

If your dogs are out when we service they will: Please Select be so excited to see us that they will lick us to death bark but, are friendly bark and might bite bark and will rip our head off eat us....so send someone we don't like!

Are there any additional details about your dogs temperament that you would like to provide?

Our yard is Please Select accessible at all times. is not accessible at all times. (see details below)

Please Note:  You do not need to be home for us to provide service. Your yard must be accessible on the day that we schedule service. Unfortunately we can not schedule a particular time to be there. Our Route Drivers go from one house to the next and each job takes a different amount of time.

Would you like us to rake your leaves as well?

Is there a gate to access your yard? Please Select No Yes

***If we can not access the yard due to the gate being blocked by snow, is locked, etc there will be a $25 minimum charge***

Additional yard accessibility details: (i.e. Where is the gate to access the yard?)

Does your yard have any steep slopes? Please Select No Yes

If you answered yes are there any further details that you would like to give us?

(Some slopes are considered to steep for the safety of our Waste Technicians. Especially during the winter. We won't know until we take a look.)

Does your dog poop in any creative spots? (i.e. Up on bushes, in the flower garden, etc)

PLEASE NOTE: We do not clean in natural wooded forest areas.

Does the area that we will be cleaning have long grass/weeds or is covered in leaves?

Our trash cans are located at/near:

Our trash cans are not accessible, leave the bags at/near:

Please clean our: Please Select Back yard Front Yard Dog Run Dog Run and Back Yard Dog Run and Front Yard Front and Back Yard Dog Run including the front and back yard  

How long has it been since your yard was cleaned?

Have you considered getting weekly service? Please Select? Yes No

If you have, what's holding you back from signing up for weekly service now?

How did you hear about us?

If through an advertising medium which section?: (i.e. classifieds) 

Have you used our services before? PLEASE SELECT Yes No

Voucher, Coupon or Gift Certificate Number:

Payment

PLEASE NOTE: "For one time clean-up services we only take credit cards over the phone." (No checks or cash) We do not provide estimates for one time clean-up services.   However, we will accept "Do Not Exceed Request". (i.e. Please do not go over one hour of billable time)  Once we receive this online sign-up we will call you to review your sign-up and obtain a VISA, Master Card, or Discover Card. 

Minimum charge is $25.00 and this includes up to thirty (30) minutes of cleaning.   After thirty (30) minutes our rate is $1.00 per minute.  Billable time starts when we arrive at your home and ends when we leave your home. Please note that you can tell us to clean until it's gone or set a cap on the amount of time that you would like us to be servicing your yard.  

OPTION 1: After charging my card for the minimum amount from the rates above, please charge it again for the amount of time that it takes to clean my entire yard: Please Select Yes No

OPTION 2: Please DO NOT EXCEED "minutes" of clean-up time. Please note that if we are not able to clean the entire yard within the time that you allow and you call us back out, the minimum charges above will apply.

IMPORTANT NOTE:  Our rates for one time clean-up services are based on ONE (1) service employee.  Due to the high demand during our busy seasons you may see more than one service employees onsite.  EXAMPLE: Let's say two (2) service employees arrive. If they spend 30 minutes on site you will be charged for 60 minutes of billable time since your getting twice the man power and the job is done twice as fast.

Other comments:

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