BITE AWAY TERMITE AND PEST CONTROL, INC.

We know you are busy! This form enables you to request a termite inspection online, at any time of the day or night. Don’t waste time on the phone; simply fill out the form, and we’ll get you set up with a termite inspection. The more info you can provide, the easier it is for us to accommodate you with the least amount of time wasted. As always, if you have suggestions on how we can serve you better, just let us know!

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Your Name: *

First

Last

Your position: *

• Home owner
• Real Estate Agent
• Home Seller (Listing inspection)
• Home Buyer (Buyer inspection)
• Property Manager (HOA, etc)

Please select your role for this inspection.

Your Email: *

Your Phone: *

Your Brokerage:

Client's Name:

First

Last

Person for whom the inspection is being performed.

Client's email:

Required to schedule an inspection.

Client's Phone:

Type of property: *

• Single family home
• Single Condo/Townhouse
• Commercial building
• Multi-family building(s)

Property Address: *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Property Information:

(for scheduling time allocation)

Approximate square footage: *

If multiple units, enter # of units (i.e. 12 units)

Single-day lockbox code:

Occupancy: *

• Occupied
• Vacant

This helps us schedule the appropriate duration

Gate code:

If a gate exists for the community or property

Preferred Date: *

Date

Time

Alternate Date:

Date

Time

Special Requests

Acceptance of electronic communications. *

• I authorize Bite Away Termite and Pest Control, Inc. and its partners to contact me via phone, email, and/or sms text messaging. Message frequency may vary. Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.

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