First Name Last Name
Service Address
Apartment Unit Floor Suite
City State Zip code
Phone Email
Billing information is different from Account holder
Billing Address
Email Phone
Signature
I agree to the Payment & Stored-Payment Authorization Policy. I consent to receive service-related text messages from Demar at the number provided in this application.
By signing the application and clicking Submit, the customer
confirms that they have read, understood, and agree to the Payment and Stored Payment Authorization Policy, Privacy Statement, and SMS Terms and Conditions available at www.demarnyc.com, and
authorizes Demar Plumbing Corp and Demar Mechanical Inc, together Demar, to charge the payment method provided for amounts due as described in those policies, including automatic charges for unpaid balances.
By submitting this form, the customer also consents to receive service-related text messages, emails, postal mail, and phone calls at the contact information provided, including about appointment confirmations and updates, on-site arrival notifications, service coordination, order verification, account or billing questions, and payment reminders. Msg and data rates may apply. Msg frequency varies with project needs and usually ranges from 1 to 3 messages per interaction. The customer may opt out of SMS messages at any time by replying STOP. Reply HELP for help.
