ANDREW J STOSKOPF TRUCKING, INC
2026-2027 SNOWPLOWING CUSTOMER RESPONSE & REGISTRATION
Warroad, MN | 218-386-4810
1 SELECT YOUR REQUEST (CHECK ONE)
SELECT YOUR REQUEST (CHECK ONE)
YES - Enroll / renew my automatic snowplow route service.
NO - I no longer need automatic snowplowing service this season.
2 CUSTOMER & PROPERTY INFORMATION - must fill out this section
Customer / Business Name:
First Name
Last Name
Service Address (location to be plowed):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Additional plowing location(s), if applicable:
3 SERVICE REQUEST & PROPERTY INSTRUCTIONS
Property type:
Residential
Commercial
Other
Requested service:
Automatic route (2" trigger)
Call-in only
Driveway / lot notes, snow placement, hidden obstacles, access instructions:
4 INVOICING & PAYMENT PREFERENCES
Please send invoices by:
Email
Postal mail
Preferred payment arrangement:
Automatic payment (separate secure authorization required)
I will pay invoices by the due date (payment method on file required for routes)
A payment method on file is required for automatic-route enrollment.
Please fill out one of the payment authorization forms.
5 CUSTOMER ACKNOWLEDGMENT - must check all 3
5 CUSTOMER ACKNOWLEDGMENT - must check all 3
I understand automatic routes begin at a 2-inch snowfall trigger, and arrival times vary.
I have reviewed and agree to the enclosed 2026-2027 pricing, billing, and service information.
I understand call-in service is scheduled after automatic routes, as availability permits.
Customer Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
RETURN THIS FORM TO OUR OFFICE | Questions? Call 218-386-4810
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