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Personal Details

Purchaser's name*

First Last

Postal address*

Street Address City State / Province / Region ZIP / Postal Code

Home phone*

Mobile*

Work phone*

Email*

How did you hear about our company?

Please describe how you heard about us

How should we send the report?

Inspection address*

Street Address City State / Province / Region ZIP / Postal Code

Inspection Deadline Date (as per contract)*

Type of building*

Please describe type of building*

Property status

Required inspections*

Payment method

We will contact you for further information on completion of this booking.

Real estate agency

Real estate agent / salesperson

Solicitor / Conveyancing Agent

Do you want a copy of the report sent to the real estate agent?

Do you want a copy of the report sent to the solicitor / conveyancing agent?

Are you intending to purchase this property without seeing it?

Are there any special requirements/conditions requested by the client/client's representative regarding the inspection and report?

Special requirements

Terms & Conditions Agreement*

By placing a tick in this box, I agree that I have read and understood the agreements at the top of this page

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