Your information |
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Name (s): |
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Address: |
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City: |
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Zip code: |
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Phone: |
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Phone 2: |
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Email: |
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| How did you hear about Richtree?: |
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Billing information |
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Please enter either |
your credit card or bank draft information |
Electronic |
bank draft |
For convenience we |
bill the account the day after service. |
Bank name: |
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Bank account number: |
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Bank routing number: |
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Bank city: |
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Credit |
or Debit Card |
Card type: |
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Card number: |
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Expiration date: |
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Name on card: |
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Services |
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| Choose your service: |
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Fertilizer/weed control, 8 applications in a year $44 per application |
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Bush & bed maintenance monthly: $85 per hour |
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I have read and agree to the Terms |
Comments: |
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