Contact and New Service Information:
	First Name:
	Last Name:
	E-mail:
	Home Phone:
	Fax:
	Work Phone:

Address (Street Address, City, State, and Zip):

Street Address:

	City:
	State:
	Zip:

...	Comments and Concerns:

YES! Let me receive a Free Lawn Survey!

YES! Let me receive a Free Shrub Survey!

Please Call the day before

Yes, I have a dog

Yes, I have a locked gate

	Sign up for Bay Country Lawns' Flea and Tick Program: (This service is only for customers who have an existing account with Bay Country Lawns.)
.	Flea and Tick Program Information: Three treatments at our normal treatment cost covers your normally treated areas, PLUS overlap into border areas, if applicable. Your applications will be done April, June, and September. A bill will be left after each treatment, which will include instructions.

Account Number:

	Sign up for Bay Country Lawns' Merit Treatment: (This service is only for customers who have an existing account with Bay Country Lawns.)
.	Merit Treatment Program Information: Your application of Merit® will be done late spring to early summer. Grubs usually start to hatch around the end of July. For more information on Grubs click here.