General Information

Type of Inspection
Customer 1
Customer 2

Customer Contact Information

Street*: Apt.:
City*:
County*:
State*:
Zip Code*:
( -  ext:
( -  ext:

Property Information

City*:
County:
State*:
Zip Code*:

Real Estate Professional Information

Real Estate Professional #1
Name:
Company:
( -  ext:
( -  ext:
( -  ext:
( -  ext:
Email Address:
Web:
Real Estate Professional #2
Name:
Company:
( -  ext:
( -  ext:
( -  ext:
( -  ext:
Email Address:
Web:

 

Inspection Agreement

Please read the following agreement and indicate acceptance of the terms and conditions. 

I, , have read and understand the above agreement and agree to its terms and conditions. Additionally, I give AHI/Inspector Ben authorization to release the original and/or copy of the inspection report to the clients' Realtor or real estate agency.

Select one: Disagree Agree

Customer Email:    

Scheduling Information

The best time for an inspection is:
at
The next best time for an inspection is:
at
The third-best time for an inspection is:
at


Created by:  James J. Gano   
Copyright 2007 JR TECHNOLOGY. All rights reserved.