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Super Scoopers USA Pooper Scoopers
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Job Site Address:
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How Often would you like our service?
Number of Dogs:
Does yard require extra clean-up?
Yes
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Are you over 60 or have an assistance dog? (for discount)
Yes
No
Special Instructions
How did you hear about us?
Newspaper
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Referral (List below)
Saw Vehicle
Yellow Pages
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Brochure or Flyer
Other (List below)
Customer Referral:
We have a customer referral program - Whenyou refer a new customer to us, you will get ONE REGULAR SERVICE DAY FREE. (not for one-time jobs)