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Backflow Test Request Form
By filling out this form I am requesting a backflow test to be performed at the location listed below; NOT an inquiry regarding services.
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Email
*
Your email
Backflow Test Pricing For 2024
Test price per backflow assembly -
$40
Repair cost if any -
$55 per hour labor plus parts (with owner approval)
Retest after repairs are made -
$40
Out Of Area Trip Charge (If applicable) $45
Non-Cancellation Fee (If applicable) $30
Backflow Testing Agreement
*
Checking This Box Constitutes My Electronic Signature That I Agree To The Pricing For Backflow Testing For 2024 As Shown Above
Required
First Name
*
Your answer
Last Name
*
Your answer
Company (If Applicable)
Your answer
Customer Type
New Backflow Customer
Repeat Backflow Customer
Phone Number
*
Example: 2087133170
Your answer
Text Notification - (Recommended)
*
Yes
No
Required
Mobile Number To Text
Example: 2087133170
Your answer
Address Needing A Backflow Test
*
Only
ONE
address per form or we won't receive your request
Your answer
City
Choose
Avimor (Development)
Boise
Caldwell
Eagle
Emmett ($45 trip charge in addition to the cost of the backflow test)
Fruitland ($45 trip charge in addition to the cost of the backflow test)
Garden City
Hidden Springs (Development)
Homedale ($45 trip charge in addition to the cost of the backflow test)
Horseshoe Bend ($45 trip charge in addition to the cost of the backflow test)
Idaho City ($45 trip charge in addition to the cost of the backflow test)
Kuna
Melba ($45 trip charge in addition to the cost of the backflow test)
Meridian
Middleton
Nampa
Parma ($45 trip charge in addition to the cost of the backflow test)
Star
Sweet ($45 trip charge in addition to the cost of the backflow test)
Wilder ($45 trip charge in addition to the cost of the backflow test)
State
*
Idaho
Zip Code
*
Your answer
Subdivision (If Applicable)
This REALLY helps us with routing
Your answer
Property Type
*
Residential
Commercial
Farm Or Large Acreage
Required
Number Of Backflow Preventers To Be Tested
*
Choose
1
2
3
4
5
6
7
8
9
10
Location Of Backflow Preventer(s) (if known)
Your answer
Payment Method
*
Choose
Cash
Check
Credit Card
Click the link below and read our terms of service BEFORE sending this form
https://www.treasurevalleyrepairs.com/backflow-terms-of-service.html
Terms Of Service
*
Checking This Box Constitutes My Electronic Signature That I Have Read And Agree To The Terms Of Service For Backflow Tests
Required
Service Cancellation
*
(The Non-Cancellation fee is $30 and non=negotiable)
Checking This Box Constitutes My Electronic Signature That I Understand the ONLY Way To Cancel My Service Is To Use The Cancellation Form Located At The Link Below
Required
Cancellation Link
https://treasurevalleyrepairs.com/cancellation.html
Additional Info (If Any)
Your answer
Submission
*
Checking This Box Constitutes My Electronic Signature That I understand by clicking the "Submit" button I will be added to the list for a backflow test
Required
A copy of your responses will be emailed to the address you provided.
Submit
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