Estimate Request Form

Treatment Request Form

Please fill out the form and click the send button at the bottom of this page when you are finished.

Choose One:
Please confirm the cost for my lawn. (confirmation of your cost will be sent to the e-mail you list)
Please do the first treatment along with a FREE Lawn Analysis ($ 30.00 value)

First Name:
Last Name:
Street Number
Street Name:
City:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
E-mail:

Lawns under 3000 sq.ft. are $43.38 Plus Tax.
Lawns 3000 to 5000 sq.ft. are $48.95 Plus Tax.
Lawns over 5000 sq.ft. will not receive the first treatment until we have talked to you.

Will you need to be at home at the time of the treatment?

Yes No

Are there any gates that need to be unlocked?

Yes No

Are there any pets that need to be put up?

Yes No

Do you have a pool?

Yes No

Has the lawn been seeded or sodded in less than 1 year?

Yes No

If yes, when was it seeded or sodded?

MM / YYYY

Would you like a quote for the Tree and Shrub program at the time of the treatment.
(Prices are based on amount and size of plantings)

Yes No

What is the approximate size of your lawn? (in sq. ft.)
(Lawn Tech reserves the right to verify measurement and adjust pricing to the correct square footage.)

How did you first hear about us?

If we were referred, who referred us?
Name:
Address:

Would you like us to call before coming out for the first treatment?
or come out as soon as possible?

Promotional Code

Feel free to add any other comments, questions,
special instructions or directions etc.