Radon & Mold Professionals
Naples / Marco Island (239) 498-4619
Cape Coral / Ft Myers (239) 948-9717
Fax:
(239) 949-5948
From:
________________________ Date: /
/ 2011
Phone # (
) ____________________your Fax# (
) ___________________
Test / Inspection
order:
Radon - ( )
Mold Inspection- ( ) Mold Sampling (testing)-
( )
Will home inspector
be there - yes ( ) no ( ) helps us schedule Time: ____:_______ Day ____________ date _____/_______/ 2011
Test address: _____________________________________________________zip:_____________.
( ) Naples ( ) Bonita ( ) Estero (
) Ft Myers ( ) other __________( ) Sanibel ( ) Cape Coral ( ) Marco
Island
Home sq. Ft aprox _____ number of AC units:__________
Who will give access
to home: _______________________________________Phone # ____- ______-__________
To
whom should we send copies of Report:
( ) Home inspector_____________________email____________________________
( )
Client_____________________________email_______________________
( ) Realtor____________________________email________________________
( )
other___________________________________________________________
Billing address :__________________________________________________________________ _________________________________________________________________________________________________state__________________zip____________
Office # (239) 498-4619
195 5th Street
Bonita
Springs, FL 34134
Due to problems with collections in the past
we require payment before reports are issued.
We email reports and fax as
the norm

|
| we accept Visa & Mastercard |
Our clients tell us we have the
Best Service / Best Test
/ Best Report
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Disclaimer
|
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