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Standard Maintenance 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
*
Standard Maintenance (Monthly) - $32
Standard Maintenance (Monthly + Chlorine) - $39
Standard Maintenance (Annual) - $315
Standard Maintenance (Annual + Chlorine) - $390
I agree to the terms & conditions of the Standard Maintenance Service Agreement selected above
VIEW TERMS HERE
I authorize monthly charge for annual service agreement and have read and understand the terms
VIEW 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 use
VIEW TERMS HERE
Primary Account Holder
Secondary Contact
Phone
Phone 2
Email
Email 2
Service Address
Subdivision
Permit Number
Disposal Type
County
Choose an option
System Type
How many spray heads?
Appointment instructions?
Scheduling Preference
*
Open Access - No notice is needed before the day of the inspection
Day Prior Text - We will notify you by Text the day before inspections
**Appointment Only - We send reminders to set an appointment when inspections are due**
Selecting 'APPOINTMENT ONLY' means we will text 3 scheduling reminders. If there’s no response within 7 business days after the last reminder, your appointment will be skipped, and a rescheduling fee will apply. Thank you for understanding
Mailing Address
City
Zip code
Mailing Address Line 2
State
Desired Contract Start ***ALL CONTRACTS WILL START THE FIRST DAY OF THE MONTH SELECTED
*
required
Name on Card
Credit/Debit Card on file (for Auto Renew or Monthly contracts)
Exp Month
Exp Year
CV#
Billing Zip
Your Signature
Clear
Register Now
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