Valley Isle Pumping

Step 1 of 3

Name*

First Last

Service Address*

Relationship*

Owner

Tenant

Realtor

Caretaker

Phone Number

Email Address

Urgency:*

Overflow / Emergency

As soon as possible

Whenever convenient

Other

Certain days / times that are best M-F (8-10, 10-12, 12 –2)

PAYMENT INFORMATION

~Payment information~

Pay at Time of Service

Credit Card

Check

Pay Online in Advance

Credit Card

Your card will be charged for the amount shown upon form submission. VIP may adjust the final amount billed based on a revised service type/ quantity, location, hoses required, time to completion, or other factors that affect the final amount due. If you have questions, please call or select the 'pay at time of service' option above.

Call out fee if arrived but unable to pump $200.

Call out fee if arrived but can't pump: $200.

Pay at Time of Service

Call out fee if inspector arrived but unable to perform inspection $200.

Call out fee if inspector and truck arrives but unable to perform inspection $200.

Pay at Time of Service

Total

(This is the base cost for our Cesspool Pumping service for the majority of properties, but may be higher for certain locations on the island)

(This is the base cost for our Septic Pumping service for the majority of properties, but may be higher for certain locations on the island)

Please call 808-878-8807 for a price estimate.

(This is the base cost for our Cesspool Inspection service for the majority of properties, but may be higher for certain locations on the island)

(This is the base cost for our Septic Inspection service for the majority of properties, but may be higher for certain locations on the island)

Please call 808-878-8807 for a price estimate.

Credit Card*

Cardholder Name

Card Details

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TYPE OF SERVICE REQUESTED

Cesspool Pumping

Septic Inspection

Septic Pumping

Grease Trap Pumping

Lift Station Pumping

Cesspool Inspection

Other

PAYMENT INFORMATION