YOUR E-MAIL ADDRESS: *   REFERRED BY:

REQUESTED INSPECTION DATE: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2009 2010 2011 2012

ADDRESS OF PROPERTY TO BE INSPECTED: *
CITY: *
STATE: *
ZIP:

TYPE OF PROPERTY: <choose one> Single-Family to 3,000 sq ft Single-Family to 4,000 sq ft Single-Family to 5,000 sq ft Single-Family to 6,000 sq ft Single-Family to 7,000 sq ft Duplex Townhouse Condo other *
If you selected "other" please e-mail or call us for a quote.

APPROXIMATE AGE OF HOME: <choose one> built after 1959 built before 1959 *

CLIENT NAME: *
CLIENT ADDRESS: *
CITY: *
STATE: *
ZIP CODE: *
HOME PHONE: *
WORK/CELL PHONE: *
FAX:

BUYER'S AGENT:
COMPANY:
OFFICE PHONE:
CELL PHONE:
FAX:

Would you like a Radon test? YES NO
Recommended by the EPA. This will add $150.00 to your inspection fee.
If you want a Radon test without a Buyers' Inspection the cost is $175.00.
IAQ $245.00 with inspection, $295.00 alone.

CALCULATE BUYER'S INSPECTION FEE TOTAL:
Your inspection fee will be $
Cash, Check or Credit Card accepted at the time of inspection.

LISTING AGENT OR SELLER IF FOR SALE BY OWNER:
COMPANY:
OFFICE PHONE:
CELL PHONE:
FAX:

Price includes a 90 day warranty from American Home Warranty Company, a word-processed report delivered on site, and the 224 page "How To Operate Your Home" book by Mr. Fixit-Tom Feiza.

ADDITIONAL COMMENTS