New Customer Service Agreement

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

How Many Dogs Do You Have?*

Dog Waste Removal Service*

Once A Week
Twice A Week
Every Other Week
Once A Month
One Time Cleaning

Breed Of Dog(s)*

Name of Dog(s)*

Briefly describe your dog(s) temperament:*

Other Dogs*

I Agree

I will notify Doodie Sweepers if any other dog is on the premises other than these listed above. This is to ensure proper billing and safety of employees entering your yard.

List any special Instructions for dog(s) and entering your property*

Will your dog(s) be outside during service?*

Yes
No
Sometimes

Would you like to have your invoice e-mailed or mailed to you?*

Yes
No

Consent*

I have read and agree to the terms & policies

I GIVE DOODIE SWEEPERS PERMISSION TO COME ONTO MY PROPERTY ON SERVICE DAYS.*

Yes

Electronic Signature*