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Tell Us a Little About You
& Your Furry Friends
First Name
Last Name
Email
Street Address
City
Zip Code
Telephone Number
Type
Mobile
Home
How many dogs do you have?
1
2
3
4
5
6
More
N/A
Breed 1 (List each dog breed)
Breed 1 Size
Small
Medium
Large
Breed 2
Breed 2 Size
Small
Medium
Large
Breed 3
Breed 3 Size
Small
Medium
Large
Breed 4
Breed 4 Size
Small
Medium
Large
Breed 5
Breed 5 Size
Small
Medium
Large
Breed 6
Breed 6 Size
Small
Medium
Large
How long since the poop was last picked up??
1 week
2 weeks
3 weeks
Longer
What kind of ground cover do your dogs poop on? [select all that apply]
Grass/Weeds (1-3 inches tall)
Grass/Weeds (over 3 inches tall)
Artificial Grass
Dirt
Lava Rock
Small Rocks (like gravel)
Large Rocks (like pavers)
Wood Bark
Concrete
Patio Deck
Other
Description of 'Other'
How many days per week would you like us to come pick up the doggie poop?
1
2
3
4
5
Other
How many cats do you have?
1
2
3
4
5
6
More
N/A
How many cat boxes do you use?
1
2
3
4
More
N/A
How many days per week would you like us to clean and freshen up your kitty boxes?
1
2
3
4
5
Other
N/A
How did you hear about us?
Would you like 2 free visits? (This is a one-time offer & will expire once this form is submitted. If you have previously received a price estimate from us, this offer is not valid. First time customers only.)
Yes (Terms & Conditions apply)
No
Clarify any specifics that we should be aware of:
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