Please complete the registration form below. We will contact you with pricing and contract agreements. Customer InformationName(Required) First Last Address(Required) Street Address Address Line 2 City Postal Code Primary Phone(Required)Phone Type(Required) Home Cell Preferred Method of Contact(Required) Call Text Secondary PhonePhone Type Home Cell Preferred Method of Contact Call Text Email(Required) Payment Method(Required) Cash Cheque E-Trasnfer Credit Card How Would You Like to Receive Invoices?(Required) Dropped off in Mailbox Email Text How Will Payment Be Received?(Required) In-Person Pickup Only How Will Payment Be Received?(Required) In-Person Pickup Mailbox Pickup Standard Mail E-Transfer Payments Are Sent To:(Required) info@urbaneffects.ca To Make A Credit Card Payment:(Required) Credit Cards are made via your emailed QuickBooks invoice Service SelectionServices(Required)Please select all that apply Grass Cutting Lawn Care Clean-ups + Maintenance Landscaping Other Grass Cutting ServicesServices Required(Required)Please select all that apply Mowing Trimming Edging Blowing Select AllPreferred Day of Service(Required) Monday Tuesday Wednesday Thursday No Preference Special Requests / Things We Should Be Aware OfCleanup ServicesServices Required(Required)Please select all that apply. Spring Clean-up Fall Clean-up Garden Bed Maintenance Bush and Shrub Trimming Property Clean-up Description of Work(Required)Landscaping ServicesServices Required(Required)Please select all that apply. General Landscaping Work Mulch Rock / Stone Planting Garden Bed Installation / Tear Out Description of Work(Required)Lawn Care ServicesServices Required(Required)Please select all that apply. Fertilizer Aerating Overseeding Description of Work(Required)Other ServicesOther Work(Required)Please provide a description of the additional services you desire.
