CONTACT INFORMATION

• • Name  First: Last:
  • Phone Number: (###) - ### - ####
  • Daytime Phone Number: (###) - ### - ####
  • Email: 
     

    LOCATION DETAILS

    Street Address:
    Address Line 2:
    City:                 
    Postal Code:    

     

    Do you own or rent? * Own Rent

    Do you have outdoor pets? * Yes No

    Do you have an underground sprinkler system? * Yes No

    Do you have a combination lock on your gate? * (If yes, please include the combination in the comments box at the bottom) Yes No

     

    SERVICES

  • Services Requested: 
    Mow & Trim - Small lot/Duplex - $24.95 weekly 
    Mow & Trim - Small corner lot - $29.95 weekly 
    Mow & Trim - Regular Lot - $29.95 weekly
    Mow & Trim - Regular Corner - $34.95 weekly
    Other (See Below))

PAYMENT METHOD  (THIS IS A SECURE WEBSITE)

• • Credit/Debit Card (we accept Visa, MasterCard, Discover & American Express). 

• • How will you be paying * 
    VISAMasterCardDiscoverAMEX
  • Name as shown on card *
  • Credit Card Number *
  • Credit Card Expiration Month * 01 (Jan)02 (Feb)03 (Mar)04 (Apr)05 (May)06 (Jun)07 (Jul)08 (Aug)09 (Sep)10 (Oct)11(Nov)12 (Dec)
  • Credit Card Expiration Year * 201820192020202120222023
  • 3 digit security code on the back of card (4 on front for AMEX)*
  • Billing Address (House #) *
  • Billing Zip Code *