Premium PLUS Contract | Harris Aerobic

Premium PLUS Service Agreement Form

Hood and Bosque Counties charge a $20 filing fee.
Once your contract is filed, this portion of your annual fee is non-refundable

Select your Payment Frequency

Premium PLUS (Monthly) - $38

Premium PLUS (Monthly + Chlorine) - $43

Premium PLUS (Annual) - $380

Premium PLUS (Annual + Chlorine) - $430

I agree to the terms & conditions of the Premium PLUS Service Agreement selectedVIEW TERMS HERE

I authorize monthly charge for annual service agreement and have read and understand the termsVIEW TERMS HERE

I authorize Automatic Renewal of my annual maintenance agreement and agree to the e-Signature policy. I have read and understand the terms of useVIEW TERMS HERE

Primary Account Holder

Secondary Contact

Phone

Phone 2

Email 2

Service Address

Subdivision

Permit Number

System Type

How many spray heads?

Appointment instructions?

Mailing Address

City

Zip code

Mailing Address Line 2

State

Desired Contract Start ***ALL CONTRACTS WILL START THE FIRST DAY OF THE MONTH SELECTED

Credit/Debit Card on file (for Auto Renew or Monthly contracts)

Name on Card

Exp Month

Exp Year

CV#

Billing Zip

Your Signature

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Premium PLUS Service Agreement Form

***Hood and Bosque Counties charge a $20 filing fee. Once your contract is filed, this portion of your annual fee is non-refundable***

Hood and Bosque Counties charge a $20 filing fee.
Once your contract is filed, this portion of your annual fee is non-refundable