Client Information Form

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Thank you for choosing Fresh Cut Lawn Care. We're excited to have you on board and look forward to providing you with simple, reliable, professional service!

PLEASE COMPLETE THIS FORM IN ITS ENTIRETY.
In order to proceed with service, please ensure accurate information is submitted in each field below.

Email *

Name *

First and Last

Date of Birth *

MM/DD/YYYY Must be at least 18 years of age or older.

YYYY

Physical Address *

Enter the full physical address where you wish to receive service.

Telephone Number *

This will serve as your best form of contact. If you are an affiliate, enter your number here, not your clients'.

Services Requested *

Select all that apply.

Weekly Mow

Bi-Weekly Mow

Shrub Trimming

Tree Trimming

Fence Repair/Install

Required

Do you currently have a lawn care service provider? *

If so please explain what led you to consider using another service provider?

Where did you hear about us? *

Select one.

Referral

In Person

Door Hanger

Postcard/Handout

Facebook

Website

Google Maps

Vehicle Sign

Yard Sign

Other

Required

Special Provisions: (List special provisions and/or instructions as previously agreed, if any, in detail below. Leave blank if not applicable). *

Payment: (You must carefully read and agree to the following terms in order to proceed with service). *

I AUTHORIZE FRESH CUT LAWN CARE TO COLLECT PAYMENT FOR THE AGREED UPON SERVICES AS LISTED ABOVE VIA ELECTRONIC PROCESSING BY CREDIT CARD OR BANK ACCOUNT AS PROVIDED.

I UNDERSTAND THAT ALL PAYMENTS ARE PROCESSED UPON ARRIVAL. SERVICE WILL NOT BE RENDERED UNTIL PAYMENT HAS BEEN RECEIVED.

Required

By completion of this form, I hereby certify that the above statements are true and correct to the best of my knowledge. Any false statement may render this service agreement null and void. *

I UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS AS LISTED ABOVE

Required

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