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Pooper Scooping Request
Please fill out completely / Data not shared with others
Zip Code
*
Address not needed unless hired
Access to yard without needing to go through the house?
*
Yes
No
How many dogs?
*
1
2
3
4
5
Other
How many cleanings per week?
*
1
2
How did you find us?
*
Alexa
Bing
Craigslist
Door Hanger
Facebook
Google
NewsBreak
Siri
Referral
Other
Contact Name
*
Best Contact Phone & Text Number
*
Information not share with others
Best E-mail Address
*
example@example.com / Information not share with others
We Bill through PayPal
Visa, MasterCard, American Express & Discover via PayPal
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