Service Sign Up Form

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Specials
We’re Hiring

Home / Service Sign Up Form

Service Sign-Up Sheet

Phone: 262-675-2600
Fax: 262-675-5004
Email: turfandtreeworx@charter.net

Sign-Up Form

Service Address

Name

Address

City

ZIP

Home #

Work #

Cell #

Billing Address (if different from Service Address)

Name

Address

City

ZIP

Home #

Work #

Cell #

Lawn Care

Gold Package

Yes No

Silver Package

Yes No

Bronze Package

Yes No

Application 1 2 3 4 5 6 7

Yes No

Aeration (Spring or Fall) circle one

Yes No

Sub Service Insecticide / Surface Insecticide

Yes No

Perimeter Pest Control

Yes No

Mosquito Spraying

Yes No

Dormant Treatment

Yes No

Dethatch and Haul (Spring or Fall) circle one

Yes No

Others

*Seasonal services in section#3 require a written contract; which will be promptly submitted.*

Seasonal Lawn Cutting*

Yes No

Spring Clean-up*

Yes No

Fall Clean-up*

Yes No

TREE CARE

Emerald Ash Bore Prevention

Yes No

Dormant Oil

Yes No

Spring Deep Root Feeding

Yes No

Spring Deep Root Feeding of Special Mix with Systemic Insecticide and Vitamins

Yes No

Spring Insect and Disease Control

Yes No

Summer Insect, Disease and Mite Control

Yes No

Fall Deep Root Feeding

Yes No

Fall Deep Root Feeding of Special Mix with Systemic Insecticide and Vitamins

Yes No

Mauget Injections, per Estimate

Yes No

Pruning and removal* (Please submit contract, if required)

Yes No

Others

Options (Check all that apply)

I would like to be billed per visit

Yes No

Check is enclosed for pre-pay discount

Yes No

Credit Card_______ (2% convenience fee for this service will be applied to your total $ amount)

Yes No

Renewing Customer

Yes No

Yes, we have an in-ground pool with grass in pool area

Yes No

Please don't service our lawn on Saturdays

Yes No

Please call prior to each treatment. Enclosed is my one-time $15.00 Administrative Fee

Yes No

Yes, we have an underground sprinkler system*

Yes No

Yes, we have an invisible dog fence

Yes No

Yes, we have underground cables/wires less than 4" from surface

Yes No

Signature

FULL NAME

DATE

To return by mail — please fold, stamp, and mail.

Email or fax is also acceptable.

If you are signing up for an aeration and have checked either of these boxes, we will need areas marked prior to aeration. Turf and Tree Worx will not be responsible for damage to underground sprinkler systems, cables and/or wires, dog fences, etc. marked or not marked. (Customer assumes liability.)