HomeMy WebLinkAboutPretreatPAYMENT / CREDIT CARD INFORMATION AUTHORIZATION
SVC AMT CARD TYPE CHECK # / CARD # / EXP DATE AMT CODE DATE TIME
2.
3. 4.
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TOTAL DUE '1 TOTAL AUTH. DEFERRED DATE
CARDHOLDER NAME (If different from above)
I AGREE TO PAYABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT (Visa/MasterCard Customer Inquiries Call 1-800-920-1079).
SIGNATURE:
VALUED CUSTOMER COMMENTS:.
SALES TECH COMMEN S: EY 81 -MeVI •K, 6\.. U +1(f 1 e, ( (7, W-ci y•e, � I q 6 4 I` Ott I o ( 0(=
CI (-90 S: Q Pr. �r�'e +-reC,.+'0 t - (it -I (+ 140 LA �•0 c4ei , 4 F-oc9+er 5 1'(9 -Vk1 op 6 •�la <'&
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/ (7 t - r
PEST CONTROL / FLEAS / OTS
TERMITE / FUME
MATERIAL INSPECTED
Evidence
Treated
MATERIAL
TREATMENT SITES TREATED
Name (%) & Amt SITES/N)
IN)
Na, a (% & Amou t
�J
Mulch/Flowerbeds
Foundation
o
Woodpile/Garbage Area
Crawl Space
Z O U
Doors/Windows/Eaves
Interior Walls
Attic/Crawl Space
Door Frames
Underneath Appliances
Window Frames
Wall Voids/False Bottoms
Bath Traps
Cracks/Crevices
Attic
Drawers/Cabinets/Closets
Other
Other
TARGET PESTS
Time/Beg: S1�
Comp:
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TOT: u
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Endorsement hereon acknowledges receipt of and tisf for services nd$//fed. I certify the bove to be true and an acc
to record -of
my op rations.
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pion
CUSTOMERS SIGNATURE
DATE P
TECHNICIAN
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Pests & Termites"'
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