Moisture Manager Request Form

Please fill out the form and click the submit button at the bottom of this page when you are finished.


Service address if different from above
If you were referred, who referred you?
For notification of upcoming treatments how do you prefer to be contacted?

Lawns under 3000 SqFt are $43.38 Plus Tax

Lawns 3000 to 5000 SqFt are $48.95 Plus Tax

Lawns over 5000 SqFt - For current customers - this is the same cost as your regular lawn treatments. For non-current customers, you will not receive the first application until we have talked to you.

Payment Option Authorization - Moisture Manager

I am a current customer and want to add the Moisture Manager application to my account in the following way.

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I am NOT a current customer but would like to have the Moisture Manager applications applied and paid for in the following way.
I understand my card will be charged for the balance due per each invoice. (Not for one-time payments).
Visa
MasterCard
American Express
Discover
I understand a bank draft charge will be submitted for the balance due per each invoice. (Not for one-time payments).
I understand this type of billing includes a $5.00 surcharge and a 10% late fee will also apply if not paid within 30 days of invoice date.

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I authorize Lawn Tech Corporation to automatically charge my account as designated for the amount due each scheduled treatment. My account will be charged on the day services are rendered as invoiced for recurring charges such as Lawn or Tree and Shrubs treatments, as well as non-recurring charges for add-on services such as disease or insect treatments. I agree to contact Lawn Tech Corporation at least 1 full day before the scheduled treatment with any concerns to allow time for correction. I understand this authorization is for the continuing annual service and will remain in effect until otherwise notified in writing. *