New Customer Registration Form

New Customer Registration Form
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Description of yard (Gravel, Grass, Dog run, Locked gate, etc):*
Name of your furry friend/s: *
What are you looking for?*

One Time Clean ($125.00)BIg Winter Clean and Regular Weekly MaintenanceBig Winter Clean and Regular Bi Weekly MaintenanceRegular Biweekly ($25.00 plus gst a clean)Regular Weekly ($17.00 plus gst a clean)

My Products: $125.00 for First Cleans (IF FIRST CLEANS ARE DONE AHEAD OF US GETTING THERE THE PAYMENT IS USED FOR REGULAR MAINTENANCE CLEANS)*

Dog waste removal initial clean Show special 25% off first hour of clean with Promo(Code valid until March 15)

$125.00CAD Quantity

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD