Online Termite/Gas line Inspection Order Form
Rather Fax Your Order? Printable Fax Form

Questions? Give us a call! (614)263-1085

Realtors: Please click here to access the real estate inspection order form.
You will receive an automated E-mail confirmation of your order 
Select the service(s) you require:
Termite Inspection Gas-line Inspection (No Warranty) Gas-line Inspection With Warranty
Your Name:
 You are the:
Inspection Deadline Date:
Your Current Address:
City:
State:
 Zip Code:
Your E-Mail:
 Daytime Phone#:
Alternate Phone#:
Property Information
Owners Name:
Type of Dwelling/Structure:
Single Family Condo
Multi-Family Commercial**		 Total # of Units:
 The property is:
Occupied
Vacant
Property Address:
City:
Zip Code:
County:
Scheduling Preference:
Day: Time Frame:
Monday
Tuesday
Wednesday		 Thursday
Friday
Saturday		 8am-10am
10am-12Noon
12 Noon-2pm		 2pm-4pm
4pm-6pm
Other		 Specify Other:
Payment: We accept Cash, Personal check, Money order
I will pay at the time of Inspection.
I will Pay Now and save $5.00
Additional Information/Comments:

 
   

THANK YOU FOR YOUR ORDER!
You will receive an e-mail confirmation that your order has been received in a few moments.

  
Cook's Termite and Pest Control, Inc. © 2002 All rights reserved.