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Wanting to set up service to have your pet’s waste removed from your yard? Fill out our new customer information form to have Loren’s Pooper-Scooper Service keep your yard free of pet waste.

FOR FASTER SERVICE, CALL LOREN’S POOPER-SCOOPER SERVICE AT 520-293-2399

Basic Info

Name

Street Address

City

Zip Code

State

Cross Streets

Contact Details

Home Phone

Alt. Phone 1

Cell Phone

Alt. Phone 2

Email

Billing Address

(if different from above address)

Billing Address

Billing City

Billing State

Billing Zip Code

Your Pet(s)

Name and type.

Pet 1

Pet 2

Pet 3

Pet 4

Pet 5

Pet 6

Type of Service

One TimeOnce Per WeekTwice Per WeekEvery Other WeekOther

How To Receive Invoice

EmailPostal

Senior or disabled?
YesNo

How did you hear about us?

Customer Referral

If another customer referred you to us, please enter their name.

I, the undersigned, hereby grant Loren's Pooper-Scooper Service and its designated representatives access to my property for the following services: pet waste removal, spraying of an odor eliminator. This permission is given until such time as the service is terminated.

Name

Date

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