Name:
Email Address:
How did you hear about us?
Home Phone Number:
Cell Phone Number:
Street Address:
Apt/Suite Number (If Applies):
City,State, Zipcode:
Who will be signing for the delivery? If no one is present, what would you have our shipper do?
How many dogs are in your household, and how many will be using the Pooch Potty USA box?	1 2 3 4 5 More
What are the names & breeds of your dogs?
All Sod is grown to order and may take up to 2-3 weeks to receive your initial order. Subscriptions will send a piece of sod every week after the initial 2-3 week grace period. I understand that if I stop my order/subscription, I may need to wait this grace period of 2-3 weeks should I decide to restart my subscription.	I agree I disagree
I understand that the Pooch Potty box is designed to be used as a secondary potty solution. It is not meant to be the primary potty area, or a replacement for walks etc.	I agree I disagree
I understand that Pooch Potty USA was designed to be changed and cleaned on a weekly basis. I also understand that failure to do so creates an unhealthy potty environment for my dog and he/she may get sick from it.	I agree I disagree