Dog Waste Cleanup Intake Form

Dog Waste Cleanup Intake Form

All Hands Company™
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Service Selection

Which pet waste cleanup service would you like to purchase? (Exact service day and time will be confirmed via email)
One-Time Cleanup (No Commitment) includes 1 cleanup visit (Mon–Fri)*

Up to ½ acre – $18½ to 1 acre – $211 acre or more – $25Add-On: Deodorizer Spray $10 (Safe for pets, humans and plants)I don't want this Service
One-Time Clean up (No Commitment) ONLY- Which day of the week do you prefer?*

MondayTuesdayWednesdayThursdayFridayN/A
Monthly Subscription ONLY- $80*

Includes 8 visits total (2 per week) and NO acre limitAdd-On: Deodorizer Spray $10 (Safe for pets, humans and plants)I don't want this Service
If 'Other’ is selected, All Hands Company™ will review the request and contact you if an exception is approved.”
Monthly Subscription ONLY- Which day(s) of the week do you prefer?*

MondayTuesdayWednesdayThursdayFridayN/AI need another day-If 'selected, All Hands Company™ will review the request and contact you if an exception is approved.”
Monthly Subscription ONLY- Preferred time window (not guaranteed)*

Morning (8AM-11AM)Midday (11AM-2PM)Afternoon (2PM-5PM)N/AI need another time window- selected, All Hands Company™ will review the request and contact you if an exception is approved.”
Is the Yard fully fenced?*
Are there multiple yard areas?*

YesNo
If answered Yes, Please specify
How many dogs are on the property?*
Breed(s) / Size(s)?
Optional but helpful
Agreement & Authorization (All checkboxes required to submit form)*

I confirm the information provided is accurate and that I am the property owner or an authorized representative of the property owner. I authorize All Hands Company™ to perform services at the address listed.I understand that All Hands Company™ will email or text my invoice or paylink and appointment details, and that service will be scheduled and activated only after payment is received. And that all sales are final unless otherwise stated.I understand that pricing is based on the service option and yard size selected (if applies) and that payment is required prior to serviceFor the safety and protection of All Hands Company™ employees, I agree to secure all pets indoors and away from the service area during the scheduled service window. I understand that the services may be delayed, rescheduled or canceled if pets are not properly secured and All Hands Company™ is not liable for incidents involving unsecured pets.The Client agrees to provide reasonable access to an active water source on the premises, at no additional cost, for the purpose of completing the requested services, if applicable, including but not limited to car washing or garbage bin cleaning.
How did you hear about us?
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Dog Waste Cleanup Intake Form

Service Selection