Termite (Wdi) Inspection Order Form

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BORDER PEST CONTROL, INC.
Jim @ Solving Pest Problems Since 1973
Las Cruces (575) 523-7222 ~ Deming (575) 546-7863 ~ Silver City (575) 534-1000
Termite (WDI) Inspection Order Form
Contact Information
Person requesting inspection: __________________________________Date:________
Your company: __________________________________________________________
Telephone numbers: ______________________________________________________
Other contact info: _______________________________________________________
Form of Payment
Prepaid:
You will need to call with location, construction type, and when needed for a price quote.
Check enclosed
Credit Card
Card number _________________________________
Expiration Date _________________________________
Name as it appears on card _________________________________
The checks in the mail, call ________________________ when it’s received.
NOTE: We need the inspection address on the check so we will know what it's for
Payment Guarantee:
The guarantee is made by the realtor or realtors agent, see back of form.
I _____________________________________, guarantee payment of this
termite inspection and understand that if the invoice is not paid at time of
closing the bill is my responsibility and it will be due and payable
immediately. Be sure to include Title Company and closing date below.
Inspection Information:
Address of inspection: _____________________________________________________
Sellers/Owners name: _____________________________________________________
Buyers Name: ___________________________________________________________
Contact person for access to property: ________________________________________
Title company: __________________________________________________________
Closing date: ____________________ Inspection due date: ______________________
Construction:
crawlspace/basement
concrete slab
(ck if only partial)
q Add Wood Destroying Organisms (Wood Rot) Inspection & Report (
)
Additional fee required
Send additional report copies to: _____________________________________________
_______________________________________________________________________
Thank you for providing the above required information, this will help insure
that the inspection process goes smoothly. Fax this form to 575-546-9673.
To email this form with data you will need the full version of Acrobat.

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