First Name

Last Name

Phone *

Email *

*The one time setup fee covers installation labor, system setup, testing, app configuration, and insurance documentation.

Cost of Parts *

The installation fee covers labor and setup. Any additional parts required for your specific system will be billed separately after approval.

Payment Consent *

By scheduling this installation, I authorize Smart Leak Protection to provide plumbing and setup services at the time of installation. I understand I’ll be contacted to confirm my appointment and parts requirements before any charges are finalized.