Office 561-779-5544 – Brian 561-721-5617 – Greg 561-676-3735

Monthly Maintenance Agreement

Customer Name:

Service Address:

City, State, Zip:

Phone #:_

Email:

Gate Code:

Animals:

Frequency of Service:

Monthly

2xmonth

Quarterly(WHRO)

Annually(WHRO)

Monthly maintenance will be performed on a 4-week rotation (13 services per year) unless indicated otherwise. Service includes water testing, cleaning or changing sediment filter, timer reset if needed, chemicals added, salt added, pump checked, pressure tank checked. Customers will be notified if any problems are noticed. Equipment repairs or replacement are not included as part of the monthly maintenance service. This agreement may be cancelled at any time without penalty.

Prices: Maintenance Service - $55.00 + supplies*

Jupiter, Delray to Parkland $65.00 + supplies*

Second system on same property – additional $20.00 + supplies*

***Price for supplies subject to change without notice.

Billing and Payment (check one):

Check

Credit Card #:

Exp:

CID::

Billing Name:

Email Address:

CUSTOMER MESSAGE: Payment made via Check can be mailed to Water Concierge Services at 3125 Fortune Way, Unit 7, Wellington, FL 33414. Credit Card payments will include a 3% service fee. Zelle – Water Concierge Services 561-779-5544. All payments past thirty (30) days from invoice date will have 2% per month added to the original price.

Additional Information: