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First and Last Name

Email (Confirmation and Billing will be sent to this email address)

Address (Service Location)

Pets on Property? *

Yes

Requested Service Plan *

Triple Threat : Mosquito, Tick & Flea (Monthly)

Full Line : Everything + Lawn Insects (Monthly)

One Time Mosquito Treatment

One Time Army Worm Treatment

Preferred Start Month

Anything we should know about your yard?

Acknowledgments & Agreements

I understand pricing is based on lot size and an additional $25 will be charged per 1/4 acre in addition to listed pricing

I agree to keep pets secured during treatment

I understand treatments are weather dependent and will be rescheduled as necessary

I understand no payment is due until service begins

I agree to recurring seasonal service unless canceled in writing (Monthly plans only)

I understand that Freedom Line Pest Defense will invoice me via email at the address provided during sign-up after services are performed. I acknowledge that billing may occur either as a one-time charge or as recurring monthly invoices

You will receive confirmation of your service start date shortly after submission!

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Freedom Line Pest Defense

Southern Pines, NC

910-227-3295

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