Client Info Form – Perfect Pour Services

NEW CLIENT
INFO FORM

Thank you for considering Perfect Pour Services!

If you are a new client please provide us with the following information and we can get your account setup or updated as needed. Current clients can update info via our Existing Client Info Form
You may request an estimate, confirm you are ready to schedule or make a simple inquiry.
Completing this form confirms you are opting in to receive text messages from our company.
Most fields are required for form to properly send!

BUSINESS INFO

Business Name

Street Address

City, State & Zip Code

Phone Number

CONTACT INFO

Main Contact Name & Position

Main Contact Phone Number

Main Contact Email

Secondary Contact Name & Position

Secondary Contact Phone Number

Secondary Contact Email

OPERATING HOURS

Opening Time

Closing Time

First Staff on Site Arrives at:

Last Staff on Site Departs at:

SCHEDULING PREFERENCES

A 2hr window for appointment START times is ideal. Our techs have other clients they see, traffic as they move around the city and systems that can sometimes require a little more attention.

Earliest time we can START cleanings:

Latest time we can START cleanings:

DAYS WE CAN SCHEDULE:

Monday

Tuesday

Wednesday

Thursday

Friday

Limited Hours to Schedule this Day:

The Brewers Association recommends cleaning every two weeks on ALL DRAFT SYSTEMS regardless of volume dispensed. We are of course happy to build a schedule that best fits your needs.

Frequency of Cleaning Requested *we charge a $25 fee for cleaning appts. not on recurring schedule

Appointment Reminder sent via SMS & Email
separate multiple entries with comma

LOCATION ACCESS

How Will our Tech Gain Access for Cleanings?

Lock Box Code & Location

Door Code

Alarm Code/Process

SYSTEM DESCRIPTION

Configuration of Draft System

# of beer/cider/seltzer lines

# of wine lines

# and type of other lines

Additional Notes on Draft System Configuration

BILLING

Email to Receive Invoices & Statements

Billing Address Same as Location Address

Billing Street Address

Billing City, State & Zip Code

ADDITIONAL INFO

Select All That Apply:

Estimate Ready to Schedule General Inquiry Updating Existing Customer Info

Additional Notes or Other Special Instructions

Business Info
Contact Info
Operating Hours
Scheduling
Location Access
System Config.
Billing
Add. Info

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New CIF

BUSINESS INFO

Business Name

Location Address

<b>Location Address</b>

City

State/Province

Zip/Postal

Location Phone

If you are human, leave this field blank.

Get your FIRST cleaning scheduled today!

Fill out our CLIENT INFO FORM and we will get right back to you so that we can schedule one of our cleaning techs to visit your location when you need us there. With 20+ traveling techs on call day or night, we can get you serviced quickly and efficiently!

We serve the greater Pacific Northwest

(503) 714-5020

office@perfectpourservices.com

Mailing Address:
P.O. Box 90684
Portland, OR 97290

Serving the Pacific Northwest and beyond…

NEW CLIENT INFO FORM

BUSINESS INFO

Get your FIRST cleaning scheduled today!

We serve the greater Pacific Northwest

NEW CLIENT
INFO FORM