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:: Lawn & Tree Estimate Request

Please provide as much of the following information as possible so that we may provide you with prompt and accurate service. If no billing address is provided, the service address will be used for all mailings and printed correspondence. All fields with an asterisk (*) are required: STEP 1 OF 3: Service Address Information Note: At least one phone number is required. This can be a message phone if you do not have a home, work or cell phone. Business Name (if applicable): Salutation: -- Choose One -- Mr. Mrs. Ms. First Name*: Last Name*: Street Address* (no PO Boxes) NOTE: You must enter a value into the address field or the form cannot be submitted. If you do not have a physical address or "911" address for this property, please type "N/A" in this field and include detailed directions in the comment box below. City*: -- Choose One -- Belle Fourche Black Hawk Box Elder Buffalo Gap Custer Deadwood Edgemont Ellsworth AFB Hermosa Hill City Hot Springs Kadoka Keystone Lead New Underwood Piedmont Rapid City Spearfish St. Onge Sturgis Wall Wasta Whitewood Zip Code*: Home Phone*: Message Phone Work Phone: Cell Phone: Email*: STEP 2 OF 3: Billing Address Information Is the billing or mailing address different from the service address? Yes No Business Name (if applicable): Salutation: -- Choose One -- Mr. Mrs. Ms. First Name*: Last Name*: Street Address* or PO Box: City*: -- Choose One -- Belle Fourche Black Hawk Box Elder Buffalo Gap Custer Deadwood Edgemont Ellsworth AFB Hermosa Hill City Hot Springs Kadoka Keystone Lead New Underwood Piedmont Rapid City Spearfish St. Onge Sturgis Wall Wasta Whitewood Zip Code*: Home Phone*:    Message Phone Work Phone: Cell Phone: STEP 3 OF 3: Service Property Information Note: This information is required in order to ensure that your account is current and that we can provide you with prompt and efficient service. Is this property inside city limits?  Yes    No Do you have pets?  Yes    No Are there locked gates on this property?  Yes    No Are underground sprinklers installed on this property?  Yes    No Are you interested in Tree & Shrub Care?  Yes    No Please include any other comments, concerns or questions you may have. Be sure to list any special instructions that you would like us to know when doing an estimate on your property. Please type the characters from the image below into the textbox: CAPTCHA Code:    Send Request Clear Form

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