Street Address

City, State, Zip

Phone Number

Accurate, Unbiased Bed Bug Detection!

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Pest Control Partners sub-contracting appointment scheduling form.

If you are a current pest control company and wish to book our services for your client, please complete the form below.

Company Name

Sale's Person's Name.

Sale's person's E-mail address

Please use email you'd like us to send the report.

Sale's person's Phone #

(###)

###

####

Branch Name

Branch that will be invoiced for the job.

Branch Address

Street or PO Box

City, State, Zip

Account #

If no account number is associated please type "None".

Customer Name

Contact at address

If the contact is different than the customer.

First Name

Last Name

Customer's Phone #

(###)

###

####

Service Address

City

State

Oregon

Washington

Other

Zip

Number of units to be inspected.

Property Description

Any additional information is greatly appreciated. Parking situation, clutter level, pets on location, etc?

Occupied?

Vacant

Occupied

Reason for inspection

Pre-Treament

Post-Treatment

Notes

Preferred appointment date

We will do our best to accommodate. Please contact Deanna about booking if you haven't already. Jobs before 7am or after 5pm are subject to additional charges.

YYYY

Preferred appointment time (3 hour window)

We will email you or text you back confirmation of appointment scheduling as soon as possible.