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Inspection Order Form

A-Z Home Inspection Service
20 Feather St.
Fernley NV 89408
Office (775)722-5431
Fax (775)575-9551 

Client Information
Name:
Address: State: ZIP:
Date
Desired:
// Time
Desired:

Property Information
Address: State: ZIP:
Size of House
Sq Ft: Number of Bedrooms: Number of Bathrooms:
Air Conditioning:   Occupied:  

Method of Payment: at
 
Escrow Company Information
Name:
Telephone Number: Fax Number:

Buyer's Agent Information
Name:
Telephone Number: Fax Number:
 
Seller's Agent Information
Name:
Telephone Number: Fax Number:

Are any environmental services required?
 (i.e. Indoor Air Quality Testing, Mold Testing, Water Testing).
Call (775)722-5431 for rates.

E-Mail Address