SCHEDULE AN INSPECTION
Request Form

CLIENT'S INFORMATION

Last Name:

First Name:

Daytime phone number:

Evening phone number:

Current mailing address:

Property to inspect address:
   
SERVICES REQUESTED
Home Inspection

 
Wood Pest Inspection

 
Radon Test

 
Water Test

 
Conventional  
New FHA  
VA  
Other  
Other Service:
 
BUYER'S AGENT
Agent Name:
Company:
Address:
Phone:
Cell:
FAX:
Home:
   
LISTING AGENT
Agent Name:
Company:
Address:
Phone:
Cell:
FAX:
Home:
   

COMMENTS:

 

 


 
 
2843 N. Front Street  |  Harrisburg, PA 17110
PHONE: 717-221-1004  |  FAX: 717-221-1005
E-MAIL:  btinspect@comcast.net