Bill Sigler's Order Form

Required fields are bold.
1. Name (First & Last)

SERVICE ADDRESS
2. Service Address
3. City
4. Zip
BILLING ADDRESS If different from the service address above
5. Billing Address
6. City	7. State	8. Zip
CONTACT INFORMATION So we can get back to you!
9. Email
10. Phone #1
11.Phone #2
12. ORDER INDIVIDUAL SERVICES
Aerating Revive Tree & Bush Feeding Holiday Lighting Winter Fertilizing Sprinkler Blowout Snow Removal Emergency Sprinkler Repair Power Raking
13. ORDER PACKAGES
The Big 3	The Complete Fall ( # of trees and bushes you would like fed)
If you ordered Fertilizer as an Individual Service or it is included in your Package, please select the type below.
14. FERTILIZER
Winter Fertilizer
15. # of Sprinkler Zones
16. # of Back Flow Devices
17. Preferred Week for Sprinkler Shut-Off If ordering the Ultimate Package please choose your preferred week for your sprinkler blow-out. You must have the valve shut off one day prior to the week you select. For example, if you select 9/27 - 10/3 as your week for shut off, you need your inside valve shut off on 9/26.
Choose Date of Shut-Off	Week Sept: 9/26 - 10/2	Week 1: 10/3 - 10/9
	Week 2: 10/10 - 10/16	Week 3: 10/17 - 10/23
	Week 4: 10/24 - 10/30	Week 5: 10/31 - 11/6

18. Coupon	Explain Type of Coupon

19. Acceptance of Policies	Cancellation Policy - Click Here Payment Policy - Click Here
	Yes, I have read and accept Bill Sigler's terms

Bill Sigler's Lawn Service works with several organizations in the community. If you are ordering as part of a fundraiser, please list the name of the organization in the field.
20. Fundraiser Group
Please email us at info@billsigler.com if you have any questions. Thank you for your business! Jodie Sigler, Bill Sigler's Lawn Service
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Serving Highlands Ranch, CO & The South Metro Area Since 1987

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