Data Pest Control
15440 Oak Park Ave.           Oak Forest, IL 60452
Phone: 708-687-7378           FAX: 708-687-0683
Fax Termite Inspection Order Form
Please print this form, complete and fax to the number provided above.
Date Ordered:                                 
  Requestor:  

Requestor Phone:

  Requestor Cell:
  Company or Firm Making Request:  
  Firm Address:  
  City/State/Zip:  
 
  Property Address:  
 
  City/State:  
  Zip:  
 
  Listing Real Estate or Person to Contact:  
  Phone #:  

Cell #:

 
  Sellers Name:  
  Phone #:  
 
  Buyers Name:  
  Phone #:  
 
Do not mark below, "for Inspector Only," Thank You!
        

        
 House

Garage
         

        
 Crawl Space

Termites		         
 Previous Treatment
Called:                                      
Called:                                      
Person Meeting us at the Property:                                      
Home #:                                      
Cell #: