After performing the services I have authorized and requested, please leave an invoice for the job and I will send in my payment.  I recognize that payment will be due upon receipt of invoice. Late fee will be assessed after 30 days, details below.

Please perform the services I have requested for ____________ year/s.

Client signature___________________________ Date_________________

Name_______________________________________________________

Address______________________________________________________

City____________________________ State____________  Zip____________________

Home phone _________________ Work phone_______________ Cell ______________

We will help protect and maintain your deck, siding or other exterior surfaces with this special offer. 
Just initial next to each service your requesting, fill in the number of years requested, sign at the bottom and return this form to us by email, regular mail or fax.

Save 15% off each service you request every year!

______Please automatically bill my credit card for each service.
                   (This will only be done if requested and initialed.)
Visa____ Master card ______ I will mail a check  ________

Credit card # _______________________________________ Exp. ____________

Signature __________________________________________ Date ____________
By sending in this form you authorize Henry's Housework Inc. to provide the requested work each year for the number of years that you have requested. Past Dues, or any part thereof, including prior Service Charges, are subject to a 2% per month (24% per annum) Service Charge. Service Charges are computed on an average daily balance. Collection costs and/or reasonable attorney's fees are the responsibility of the customer/client. All payments received are applied in the order of: collection costs, attorney's fees, service charges, and past due amounts. Any remaining funds are then applied to current amounts due.
Method of payment at time of service

__________Please restore and preserve my deck with Ready Seal deck sealer every Spring to keep the lumber properly                   maintained against the weather and looking great!   Ready Seal is the brand Henry's Housework and
                 other experienced contractors all over the country recommend, for providing the best results and protection of
                 any other sealer.

__________Please power wash my home every Spring to properly maintain it!

__________Please power wash my patio every Spring.

__________Please power wash my walkways, front stoop & steps and driveway every Spring!

For commercial contracts please call our office!
For commercial contracts please call our office!