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Client Service Request Form

HALEY IRRIGATION, INC.
CLIENT SERVICES REQUEST FORM


Please submit form to schedule necessary services.

                    Name:
Property Address:


YES, I want the services I have checked below:
Spring Startup
Fall Winterization
Mid-Season Inspection
3 Monthly Inspections (3 visits - June, July, August)
Weekly Inspection (June, July, August - Once per Week)

Please provide any special irrigation or programming notes for our crew:

**These services will be invoiced at time of completion.  Weekly inspection invoiced per month.
**Products and repairs are additional.


Please provide additional information on:

Outdoor Kitchens          All Pro Golf Greens
Brick Paving                 Retaining Walls
Landscape Lighting       Weather Station Controller
Rain Gauge                  Complete System Evaluation
Other (specify in Comment area below)

Please comment below if additional information is desired:


YES, I want Haley Irrigation to be in possession of a key for my house/garage access to my sprinkler controller (and lake pump if applicable)
Key will be mailed to Haley, Inc.
Key in Haley, Inc. Possession

NO, I will provide access for Haley, Inc. by providing a:
Phone Number 
Contact Person 


Billing Address: 
         Address:
               City:
             State:
       Zip Code: 


Request Service Call
Please specify in comments below:


Please respond promptly to this form and you will be scheduled accordingly.  We will call you to schedule appointments as necessary and weather permits.  Thank you!

Phone: (231) 582-6460
Fax: (231) 582-7960
Email: haleyinc@charter.net


Note:  by submitting this form, you are agreeing to the services checked within it.  Please check your answers before submitting.

      

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