Dog Waste Removal Service Request
Keeping Your Dogs Yard Cleaner-One Scoop at A Time!
Name
*
First Name
Last Name
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Best Contact Method
*
Call
Text
Email
Type of Residence
*
Please Select
Residential in town <1 Acre
Acreage 1-2 Acres
Acreage 3-5 Acres
Acreage 5-10 Acres
Commercial/Business
Multi-Family Property
How did you hear about us?
Referral
Web Search
Social Media
What waste services are you interested in?
*
One Time Clean Up
Once weekly (Monthly Contract)
Two times weekly (Monthly Contract)
Kennel Cleaning
Yard Disinfecting
Upload Photo of Front AND Backyard
File Upload
Browse Files
Drag and drop files here
Choose a file
Upload photo of front and backyard
Cancel
of
Gate code: Enter Yes or No and code
Kept Confidential
Is your yard fenced?
Please Select
Yes
No
Number of dogs?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Will your dogs be in the yard at time of your service? (Yes or No)
*
Dogs should be securely contained or kept indoors during yard service to ensure the safety of your pet and worker.
Names of your Dogs?
*
What are the breeds of your dog/dogs?
*
Are your dogs vaccinated?
*
Please Select
Yes
No
Would you prefer to receive a reminder before arriving?
Please Select
Yes-Email
Yes-Text
No reminder needed
Tech will send a reminder of 15 minutes of arrival.
Payment Method PREFERRED (Invoices will be emailed)
*
Please Select
Cash
Check
Credit Card
Venmo
PayPal
Invoices due within 30 days.
Submit
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