Contact Us

For Service Requests - Please fill out the ENTIRE form before submitting!

First Name (required):
Last Name (required):
Your Email (required):
Phone (required):
Address:
City, State, Zip:
Your Message:


(Scroll down to submit - or Fill In additional information below)

Service Requests

Number of dogs in your household:
Frequency: Once a WeekTwice a WeekOther - Please Explain
Name(s) of Dog(s) in Household & Dog(s) Birth date:
Scoops Dog Waste Clean Up Service, Inc. will be servicing the: Back YardFront YardBoth Front and Back Yards (*There is an additional charge for both front and back.)
When was the yard last cleaned?:
How did you hear about Scoops Dog Waste Clean Up Service, Inc.?
Ad in (list name of paper); truck signs; flyer; business card at (list name of business), referral (list name of person), event (list name of event); phone book.

Name of person who referred you to Scoops Dog Waste Clean Up Service, Inc.:
Is email billing acceptable? YesNo