Radon & Mold Professionals
Fax: (239) 949-5948
From: ________________________ Date:
/ / 2006
Phone # ( )
____________________
your Fax# ( ) ___________________
Test / Inspection order:
Radon ( )
Mold ( )
Will home inspector be there - yes ( )
no ( ) helps us schedule
Time: ____:_______ Day ____________ date _____/_______/ 2006
Test address:
___________________________________________________________zip:_____________
___________________________________________________________________________
( ) Marco ( ) Naples ( ) Bonita (
) Estero ( ) Ft Myers ( ) Cape coral ( ) other __________
( ) Sanibel ... $12.oo tripcharge
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
We email reports and fax as the norm THEN Mail hard copy & invoice
