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Service Agreement
This agreement made 
by and between Reliable Well Services and
(YOUR NAME)
(DATE)
hereinafter called Reliable Well Services to perform the following services.

(YOUR ADDRESS)
(YOUR PHONE #)
Reliable Well Services shall  warranty  all mechanical parts of your well system, supply and deliver salt and chlorine. We will also have emergency service 365 days a year for your out of water emergencies
All services, unless an emergency shall be performed on or before the week of your date of service.

Your date of service is determined geographically. 
( At the time of sign up, your technician will inform you of your service date)
Payment will be due on or before your service date. If payment is not received when due, Reliable Well Services may suspend any services agreed upon.
Failure to make payment when due, agreement shall be deemed void. If payments are not up to date at the time of an emergency, you the customer will be charged service call and materials for the repair of your system
YOU THE CUSTOMER HAVE THE RIGHT TO CANCEL AT ANYTIME
If you are completing this form for service you must also complete the amendment form
(YOUR EMAIL ADDRESS)
RELIABLE
WELL SERVICES 
Licensed & Insured
Workman's Comp. & General Liability
Praise God
THERE WILL BE A $3.00 ADDITIONAL CHARGE IF A PAPER INVOICE IS REQUIRED.
EMAIL ADDRESSES ARE ONLY USED FOR INVOICING AND COMMUNICATION WE DO NOT SELL YOUR EMAIL.
ALL COMPONENTS OF YOUR WELL SYSTEM MUST BE IN WORKING ORDER AT THE TIME OF SIGN UP.
PLEASE CALL OUR OFFICE AND SCHEDULE A FREE SYSTEM QUALIFY. 
OUT OF WATER EMERGENCY ONLY
(941) 483-6775
''A Well Maintenance Warranty Company''