FAX SERVICE REQUEST FORM
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PROPERTY ADDRESS: _______________________________________

AGENT/OWNER: ____________________________________________

SERVICE ADDRESS: __________________________________________

PHONE: #1 (____) ______________________ #2 (____) _______________________________

 

REALTOR/AGENT NAME: __________________________________________

ADDRESS: _______________________________________

PHONE:  (____) ____________ CELL (____) _____________________

 

BILLING ADDRESS: ________________________________________

BILLING PHONE: (____) ___________________

PO#__________________

AUTHORIZED AGENT SIGNATURE: ___________________________

PRINTED NAME: ___________________________________________

 

SERVICE DESIRED:

_____ TERMITE INSPECTION

_____ EMERGENCY BEE REMOVAL (4 HOUR TURN AROUND TIME)

_____ PEST CONTROL

_____ WEED CONTROL

_____ BIRD CONTROL

_____ GENERAL SERVICE


Please fill out this form and fax back and we will contact you ASAP to set up an appointment.

Please Note: some services may take up to 2 weeks to complete.  

Termite inspections for the sale of a home require a report and may require work to be done on the property before a clear report can be issued.  

Weed work will not show immediate results and is a long-term solution to your weed problem.  

SERVICE REQUEST FAX LINE

HEMET OFFICE FAX LINE:  951-765-9824

 

Bact to Termite Order Form Page


  

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