***PLEASE NOTE: Existing customers do not need to provide information that is already on file. You can leave the fields blank.***

Company Name:

First Name  

Last Name:

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.)

Street Address   (We need this even if your an existing customer. It helps us pull up your account)

City

Zip

Directions to your home:

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 Single Family Home Condo with private yard Condo with community yard Townhome Duplex Multi-Family Apartment Building Other

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?)

What areas need leaf removal? (Please list areas by priority - i.e. back yard 1st, side yard 2nd, front yard 3rd, etc.)

Is the grass or weeds longer than 4 inches in the areas that you would like us to remove leaves?

Do you need a final lawn cutting for the season?  PLEASE SELECT Yes No

Do you need additional work such as general debris removal, etc.

Where would you like us to leave the bags? (If you would like us to take the bags the rate is $5/bag.)

Do you own a dog?  PLEASE SELECT Yes No

If you own a dog would you like us to remove dog waste as well?  PLEASE SELECT Yes No We used your weekly poop scooping service

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

Payment

PLEASE NOTE: "For leaf raking services we only take credit cards over the phone." (No checks or cash) We do not provide estimates for leaf raking 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. 

Rate: Minimum charge is $25.00 and this includes up to thirty (30) minutes of raking and blowing. (one technician).   After thirty (30) minutes our rate is $1.00 per minute.  Billable time starts when we arrive and ends when we leave.

OPTION 1: After charging my card for the initial $25.00 (30 minutes of cleaning), 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 are based on one (1) of our employees on-site.  If we send more than one employee than the total amount due will be charged according to the time spent on the job and number of employees on-site. Rest assured that our goal is to get the job done as quickly as possible since we have other customers waiting on us.  EXAMPLE: Let's say you set a "Do not exceed" limit of 60 minutes and we send out three (3) employees. If they spend 15 minutes on site you will be charged for 45 minutes.

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