[forminator_form id="40"] – HomeEase Revitalizing Services (H.E.R.S.)

Client Information

Name *

Phone *

Email Address *

Property Information

Service Address *

Apartment, suite, etc

City *

ZIP / Postal code *

Single-family / Duplex

Multi-family

Commercial / Business

Corner lot

How did you find us?

Please select one.

Select *

Is there anything you'd like us to know about the site layout, conditions or exceptions?Notes/Requests

Add another service address? *If inquiring service for 3+ properties, please select “No”, then list additional addresses in “Additional Sites” section.YesNo

Service Address *

Apartment, suite, etc

City *

ZIP / Postal code *

Single-family / Duplex

Multi-family

Commercial / Business

Corner lot

Is there anything you'd like us to know about the site layout, conditions or exceptions?Notes/Requests

If inquiring service for 3+ properties, please list addresses here. (Full Street Address, City, Zip)Additional Sites

Service Request Type(s)

Check all that apply.

Add-ons

Edge/trimmingYard bag haul awayWeed removal

Priority DispatchFirst-Call DispatchStandard SaltPet/Eco Salt

Lawn Package Options

Check next to your desired package. Pricing will be provided upon completion of your field estimate.

BASICBi-weekly, mow, blow, bag clippings

BETTERBi-weekly, mow, blow, edge, bag clippings

PREMIUMBi-weekly, mow, blow, edge, bag & haul away clippings

ELITEWeekly, mow, blow, edge, light weeding, bag & haul away clippings

Snow Package Options

Check next to your desired package. Pricing will be provided upon completion of your field estimate. All Tiers will receive SMS service alerts and weather updates prior to Winter events. Client must reply Y or N to confirm/deny wanted service. Visit amounts reset per month. No rollovers/accumulating. Service will be rendered on a "pay-per-event" basis upon exhaustion of monthly uses.

BASICUp to 3 visits/month; 1 visit/snowfall; Add-On Dispatch type; salt not included

BETTERUp to 4 visits/month; 1 visit/snowfall; Standard Dispatch type; light salt included

PREMIUMUp to 5 visits/month; 1 visit/snowfall; Priority Dispatch type; light salt included

ELITEUp to 6 visits/month; up to 2 visits/snowfall; First Call Dispatch type; salt included

Are there any areas you want us to pay extra attention to or refrain from servicing? Anything else you'd like us to consider?Winter service notes/special requests

Are we permitted to perform "Red Eye" / Overnight Winter service? (11pm – 6am) *Please select oneYesNo

Bundling Options

Check the box to receive bundle recommendations and pricing based on your entries.

Bundle Fall & Winter services to receive 10% off your estimated total by signing on for 2026-27 monthly seasonal service by/before Oct 31st!Let’s talk about SAVINGS!

Would you like to submit current photos of the area(s) to be serviced? This will assist in expediting the estimation process. *Please select oneYesNo

Upload filePlease upload clear and current photos of the area(s) you’re requesting service for.

Signature *

Date *

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