Hydrex Pest Control - Termite Inspection Request

Request for Homeowner Termite Inspection


Your Name First and Last Name:	Property That Needs Inspection Street Address: City: City (If not listed): State: Zipcode: Zipcode (If not listed):

Mailing or Billing address (if different) Name: Street Address: City: City (If not listed): State: Zipcode: Zipcode (If not listed):	Contact Info Home Phone: Work Phone (optional): Cellular/Pager (optional): Email Address (optional): Special Instructions for contacting you (optional):

Indications of Infestation (optional)
Drywood Termites Dampwood Termites Subterranean Termites Wood Destroying Beetles Carpenter Ants Fungus or Rot Other:	Describe any evidence you may be seeing of termite activity:

We will contact you to schedule a termite inspection that is right for you. If you have any questions just give us a call.