Pet Waste Clean-Up

Customer Service Request Form

Please fill out your contact and property details to request our service.
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Service Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Number of Dogs*

123+
Yard Size*

SmallMediumLarge
Fence Type*

NonePartialFully Fenced
Gate Location / Instructions
Any Aggressive Dogs?*

YesNo
If yes, details
Recurring Services
Recurring Services

Weekly Cleanup - 1 Dog ($20/week)Weekly Cleanup - 2 Dogs ($24/week)Weekly Cleanup - 3+ Dogs ($28–$35/week)Bi-Weekly Cleanup - 1 Dog ($30/visit)Bi-Weekly Cleanup - 2 Dogs ($40/visit)Bi-Weekly Cleanup - 3+ Dogs ($40+/visit)
One-Time Service
One-Time Service

One-Time Cleanup/ First Initial Clean-Up($65–$150)
Add-On Services
Add-On Services

Yard Deodorizing Spray ($10–$20)Disinfection Treatment ($15–$30)
Subscription Plans
Subscription

Basic Paw Plan — $70/month (1 dog)Family Pack — $85/month (2 dogs)Multi-Dog Plan — $100–$140/month (3+ dogs)VIP Pawfect Plan — $160/month(Includes deodorizing, priority scheduling, discounts)
Scheduling Preferences
Preferred Service Day(s)*
Preferred Time Window*

MorningAfternoonFlexible
Billing Information
Payment Method

CashCardZelleOther
Billing Frequency

WeeklyBi-WeeklyMonthly
Special Instructions / Notes
All new clients require an initial deep cleanup before regular service begins: $60*

I Understand
Signature
By signing below, you agree:
• Yard must be accessible on service day
• Dogs must be secured if aggressive
• Payment is due as agreed
• Pricing may adjust based on yard condition
Customer Signature*
Date

MonthDayYear
Date
Should be Empty:

Customer Service Request Form

Recurring Services

One-Time Service

Add-On Services

Subscription Plans

Scheduling Preferences

Billing Information

Signature