Today's Date:

Date Needed By:

Closing Date:

Company Name:

Company Address:

Phone:

Fax:

E-mail:

First and last name of person ordering:

Borrowers name:

Property address of termite inspection:

Contact person to get into property:

Phone number of contact person:

Supra key?

Special instructions:

Please fill in all blank lines or put non-applicable or request cannot be filled. We must have access to all buildings on the property including garages. If we make a trip to the property and are unable to get into one of the buildings, there will be an added trip charge. The charge will be based on travel distance and will be a minimum of $10.
Person ordering inspecton is responsible for seeing that we are paid in full. You will be sent an e-mail from HP33C@aol.com to verify we have received your order. If you do not receive one within 24 hours, please call our office. Thank you!