Service Request

Please complete the form below and submit

First Name
Middle Name
Last Name
Address
City	Armada Auburn Hills Berkley Beverly Hills Bingham Farms Birmingham Bloomfield Bloomfield Hills Bloomfied Township Bloomfield Village Brandon Center Line Chesterfield Clarkston Clawson Clinton Township Commerce Commerce Township Drayton Pains Eastpoint Farmington Farmington Hills Ferndale Franklin Fraser Goodison Harrison Twp Hazel Park Highland Highland Township Huntington Woods Independence Independence Township HKeegoarbor Lake Angelus Lake Orion Lakeville Lathrup Village Lennox Leonard Macomb Madison Heights Mt Clemens New Baltimore New Haven Oak Park Oakland Oakland Township Orchard Lake Orion Orion Township Ortonville Oxford Pleasant Ridge Pontiac Ray Richmond Rochester Rochester Hills Roseville Royal Oak Royal Oak Township Shelby Twp St Clair Shores Sterling Heights Sylvan Lake Troy Union Lake Utica Walled Lake Warren Washington Waterford Waterford Township West Bloomfield White Lake Wolverine Lake
ZipCode
Two major cross roads
Phone (2 numbers are required)
Email
How did you hear of Scoopy Doo?
Regular and One Time Service
Prices are based on a total cleaning area of approximately 4500 Square feet (60x75 area). This is the size of an average backyard, front yard or run. Fees apply for additional cleaning areas and the difficulty of the service area to be cleaned.
How often do you want service?	Weekly Every Other Week Twice Weekly Monthly One Time Cleaning (twice weekly not offered in all cities)
Condition of yard at start of service How long has it been since the yard has been cleaned?	Just cleaned One week Two weeks Three or more weeks
Initial Cleaning needed additional fees apply
How many dog(s) in home?
Area to be cleaned	Back Yard Front Yard Run
Other (i.e. dog lead off back deck)
Do You Have Additional Areas to Be Cleaned? Additional Fees Apply (Please check all additional areas to be cleaned)
Full Yard (add $3.00 to each visit) (includes front, back and sides of home) Cleaning area up to 9000 square feet (120x150)
Oversize Yard or Extended Areas to be Cleaned (over 4500 square feet 60x75 area)
Free estimate on our 1st visit to determine your additional fees You will be notified of any price adjustment needed before they apply Average fees of $1 - $3 for additional areas or oversize yard/area
Please provide estimated size of yard/area to be cleaned
Flower Beds (add $2 per visit)
Special cleaning instructions
Cleaning rocks/rocky areas add $2 per visit
Special cleaning instructions
Spray Deck (add $3 per visit area of dog waste)
Special cleaning instructions
How to Dispose of Waste	Haul away waste additional $1 per visit Please leave all waste (double bagged no charge)
Please advise where to dispose of waste (i.e., black can in back yard)
To ensure the safety of your dog and our staff we please ask our customers to confine or restrain their dog at time of service.
Location of dog at time of service	No dog door and dog(s) do not have access to yard on service day Dog Door will be closed and dog(s)do not have access to yard on service day
How will we gain access to your yard?	Yard is open Gate is open Gate is locked
Please provide instructions if needed (i.e., gate sticks, lift then open)
Please provide combination to lock or location of key if needed
Bag Pick-up Service Only
How often do you need pick-up?	Not needed Weekly Twice Weekly Every Other Week Monthly
Location of Bag for Pick Up
Payment Options for One Time Cleanup
We accept Visa, Master Card (credit or debit) Personal Checks, Money Orders
One Time Cleaning: Visa/Master Card, Personal Check or Cash must be collected at time of service. Please note if service tech arrives to your home and no payment is provided, service will not be rendered and a service call of $20 will be charged. The service call will be rescheduled.
Form of Payment	Credit Card (provide card information below) I will be home to pay Other
Location of Payment (i.e., taped to back door)
Scheduled Services
How Will You Pay for Service?
Choose on option: Mail, Email, or Automatic Payment
Please Mail my Invoice
Please Email my Invoice
Please Enroll me in Automatic Payments	Yes No
Automatic Payment Accounts Email Option
Please Email a receipt of credit card payment each month	Yes No
Email address
Type of Payment
Card No
Card type	MasterCard Visa
Expiration Date	Month 1 2 3 4 5 6 7 8 9 10 11 12 Year
Name as it appears on Card
Security Code	(last three numbers on back of card)
By submitting  this form you are authorizing Scoopy Doo to perform the requested service(s) and payment options in the above form

Scoopy Doo will send confirmation of your rate, start date and service day within 48 hours of request.

Also you will receive a Customer Policy in the mail explaining our service and terms.

Please read, sign and  return the customer policy.

Any Questions Please call our office at 248-969-9400 or 586-755-6333

Thank you, Scoopy Doo

Scoopy Doo is a pet waste removal service providing pet waste cleanup, canine waste removal services and bag pick up service to residential and commercial properties in Oakland and Macomb County MI since 1998. For more information please contact Scoopy Doo "pooper scooper service" @ scoopydooservice@yahoo.com or call our office or call 248-969-9400 or 586-755-6333.