PREFERRED GUTTER CLEANING FORM
Source: *    Name / Phone #: *
Bill To:
Name: *
Street: *
City / Zip: *
Phone: * (H) (Alt) *
Job Location:
Name: *
Street: *
City / Zip: *
Phone: * (H) (Alt) *
STEP 1: * CREATE YOUR GUTTER MAINTENANCE PROGRAM
Please check the appropriate boxes to schedule an automatic service for the month.
March April May
June July August
September October November
December January Feburary
STEP 2: * CUSTOMIZE YOUR PROGRAM
Please select which options you would like performed automatically with your scheduled service.
NO CHARGE to check system and note problems. Check system and note problems NO CHARGE Re-secure loose downspouts*
Clean and bag roof debris Replace damaged downspout elbows*
Seal leaking miters and/or endcaps Flush gutters and downspouts with water
Re-secure loose gutters*
* Commonly used material is kept on trucks to perform standard repairs as needed. If uncommon material/color is needed, notes will be taken and service can be completed at time of next cleaning. If service is requested before time of next cleaning, standard time and material rates will apply with a minimum charge of $120.00.
SPECIAL INSTRUCTIONS/REQUESTS
STEP 3: AUTHORIZE YOUR WORRY-FREE MAINTENANCE PROGRAM
Pre-authorized credit card number Visa/MasterCard: * Billing Zip Code: *
Name on Card: * Expiration Date: * (mm/yy)
Your credit card will be billed upon completion. Your credit card will be billed upon completion.
RCS is licensed, bonded and insure. Our work is outside and weather permitting. Damages caused by naturally occurring weather events are not the responsibility of RCS. We will charge a trip charge of $60.00 if we are sent away or if we cannot gain access to the property because of locked gate or other barred access to property. All cancellations or changes must be made within 24 hours. Pre-authorized credit card must be associated with your program and will be billed upon completion of service. Service Agreements will be renewed each year. RCS reserves the right to terminate this contract as deemed fit or refuse service to any customer at any time.