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VIP Bee Rescue
469.825.5218
Client Register
Name - Business
Phone
Email
Address
Spotted
Area
Level
Ground
Reminder
30 Min
Service
Removal
Noticed
Activity
Price
Pref. Contact
Text
2nd Auth. Contact
Phone
Gate Code
Pay.
CC
Allergy **
Honey Release Emails
Provide Honey from Service (if applicable)
Upload Pictures.
max size 15mb
Notes / Area Desc.
I accept the Bee Removal Agreement Terms
Signature
Clear
Confirm
Have a Bee-utiful Day!
Office Use Only
CONF-OTP
PAID *
** OTC/No Pest.**
** Aggressive Bees **
Service Date
Time
06:00 AM
07:00 AM
08:00 AM
09:00 AM
10:00 AM
11:00 AM
12:00 PM
01:00 PM
02:00 PM
03:00 PM
04:00 PM
05:00 PM
06:00 PM
07:00 PM
08:00 PM
09:00 PM
10:00 PM
8:00
CC Name
CCN
EXP
CVC/CVV
ZIP Code
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