Lead landscaping form worker

Service Form

Use this form for Estimate, making any changing, placing an Order.

Type of Customer

New Current Previous Commercial

How do you know about us?

Flyer on door Referral TV Flyer on mail Sign Sales Person Internet Search Radio Other: ‎

Please indicate number on left upper corner of flyer

Name

Phone

Address

If this is not the address where the service is going to be performed, don't worry you will have the opportunity to enter this information later in this form.

If you can't provide us an email at the moment you can use none@none.com

Message Subject

Estimates. Placing an Order Changing, upgrading, downgrading services Editing, updating information.. Invoices and payments inquires. canceling Services/appointments.

Services that you are requesting

Mowing‎ Weed Control‎ Power Washer‎ Trimming‎ Maid‎ Weed Control + Fertilizer‎ Flower Bed‎ Other: ‎

Dimention of Properties in Acres

0.10 use pair numbers

Link from Map Calculation

Frequency

Every Week‎ Every 2 Weeks‎ Every 3 Weeks‎ Every 4 Weeks‎ One Time‎ Other: ‎

Service address?

Same as previously entered Multiple locations Other

Date that you wish to start the Service

Please indicate condition of your Lawn

It have inclinations/ hills/ holes.‎ The grass is higher than a Foot.‎ Trash, objects, rocks on your lawn.‎ None of Above‎

Any Pets:

No‎ Other: ‎

Please indicate what is the pet.

Is you back yard Accesible for the service

Yes, there is no padlock installed Is Locked but i will unlock the days of services. And I understand this will be my own responsibility to keep the gate open. Is locked but please install GPH Pad Lock. Remember Our Padlock at not extra cost and we provide you the keys

Remember if your yard is locked at the day of service we will be doing only the are that is accessible.

Are you living in a gated Comunity?

No Other: ‎

Please indicate the combination in the "other" box if is any

Any Specification?

Billing address?

Same as previously entered Other

E-mail?

Same as previously entered Other: ‎

Payment Type?

Cash‎ Check‎ Credit or Debit Card‎ Auto Payment‎

Amount to be charge on the first invoice

Please indicate how the customer is going to be billing.

Short description of amount, how much in the first invoice, and the recurrent, and how many services are going to be in the invoices.

Who was entering this information