Treatment Sign Up Form
Please fill out the form and click the submit button at the bottom of this page when you are finished.
Address Line 2
Will you need to be home at the time of service?
Are there any gates that need to unlocked?
Are there any pets that need to be put up?
Do you have a pool?
Has the lawn been seeded or sodded in the less than 1 year?
If yes, was it seeded or sodded?
How long ago?
less than 3 months
3 to 6 months
6 to 12 months
How did you first hear about Us?
Friend or Neighbor
Lone Star Go Pages / Circular
EveryThing Local / Circular
Yellow Pages / Phone Book
Ad Pages / Circular
Dartz Offers / Circular
Best Pick Reports
Home Improved / Circular
The Home Mag / Circular
If we were referred, who referred us?
Feel free to add any other comments, questions, special instructions or directions, etc.
Select this option to see the specials you may want to use at this time.
Please do the first treatment along with a FREE lawn Analysis ($35.00 value)
I would like to apply this special to my order.
First treatment $19.00 - for the first application of Lawn Techs annual 5 application program. $19.00 price is for lawns up to 5000 SqFt. only. For lawns large than 5000 SqFt. $32.40 will be deducted from the regular application cost.
Free Year Long Fire ant control application - I also agree to the Lawn Tech annual 5 application lawn program to receive this special offer
6 months Free Perimeter Pest control - I also agree to the Lawn Tech annual 5 application lawn program to receive this special offer.
Two Free lawn applications - spraying for broad-leaf or grassy weeds. I understand these two applications will be automatically scheduled in addition to the regular 5 treatment program applications.
I only want treatment to treatment - No specials
3000 SqFt are $45.55 Plus Tax
3000 to 5000
SqFt are $51.40 Plus Tax
SqFt will not receive the first treatment until we have talked to you.
For notification of upcoming treatments how do you prefer to be contacted?
I Do Not need to be notified before my scheduled treatments. It is not necessary to contact me before coming out.
Please notify me via email of my scheduled treatments.
Please notify me via Text (to the number listed above) of my scheduled treatments.
Please notify me via Telephone message (to the number listed above) of my scheduled treatments.