Radon & Mold Professionals

Test order form

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we accept Visa & Mastercard

To use the order form:
  • Simply put your cursor over the form and a option box will appear.
  • Choose the print icon from the box.
  • Fill out the form as much as possible and fax it to the number shown in the form.

please call office for prices on tests outside of Collier & Lee Counties              toll free:      1 (800) 881-3837

below here on test request

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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

Our clients tell us we have the
Best Service / Best Test / Best Report

Disclaimer

In no event shall WallRadon Testing, Inc. be liable for any special, indirect or consequential damages or any damages whatsoever resulting from loss of any kind including profits, in any action arising out of or in connection with the use or performance of information available from this website, email or newsletter. All advertisers or links in this website, email or newsletter are for general information purposes only. It is the sole responsibility of any person viewing these pages to verify by outside means the accuracy of the information prior to taking any action based on the content of this website, email, newsletter and any site connected to it via a hyperlink and you should consult your personal realtor, attorney, accountant or respective professional before acting upon information contained herein.