Discount for Weekly Customers

Account Number: 

Date of Application:

Expiration Date:

Client Name:

Address 1:

Address 2:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Email:

A. 10% Discount on monthly service from $120 to $179
10% off = $13.50 per hour (2 hrs. minimum per week; up to 8 hrs. per month):

B.15% Discount on monthly service from $180 to $359
15% off = $12.75 per hour (3 to 5 hrs. minimum per week; 12 to 20 hrs. per month):

C. 20% Discount on monthly service from $360 to $539
20% off = $12.00 per hour (6 to 8 hrs. minimum per week; 24 to 32 hrs. per month):

D. 10% Discount on monthly service over $539
10% off = $13.50 per hour (9 hrs. or more per week; Over 35 hrs. per month):

This card has to be used on the first day of the month, or before, and it’s good for one year after the purchase of the card. Mess Busters, Inc., reserves the right to vary or change these offers without prior notice. This card is valid for one year from the date above. It is not transferable. This card purchase price is non refundable. There is a $2.00 charge for a lost card. Your signature below constitutes acceptance of the terms and conditions listed herein.

 The Membership Card is only for our Weekly Customers.

Accept Terms:  

By checking this box and entering my name and date below, I hereby indicate that I agree to the above terms and conditions of this contract.