Wilmington Area:
910-791-7177
Brunswick County:
910-579-0023
Toll Free:
888-838-0718
Fax:
910-579-1514
Email:
secureinspect@yahoo.com
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secureinspect@yahoo.com
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Request an Inspection Job
Client Information
Name:*
Primary Address:*
City, State, Zip:*
,
Home Phone:*
Work Phone:
Cell Phone:
Fax:
Email:
Address to be Inspected
Primary Address:*
City, State, Zip:*
,
Agent Information
Agent Name:*
Agent Address:
Company:
Phone:*
E-mail:
Fax:
Cell Phone:
City, State, Zip:
Heated Sq. Footage:
Total Sq. Footage:
Deadline Date for Inspection:
Inspection Time:
(Requested)
Age of Home:
Selling Price of Home:
Structure Type:
Please select
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Beach house on piling/open underneath
Beach house on piling/1/3 storage under
Beach house on piling/fullgarage/storage
Ranch style home/slab
Ranch style home/crawlspace
Single wide home
Single wide home with bedroom addition
Double Wide home
Town Home/slab
Town Home/crawlspace
Duplex/both sides
Duplex/one side
Condo
Patio Home/slab
Patio Home/crawlspace
Commercial Office
Commercial Building/ Slab
Commercial Building/ Crawlspace
Other:
Other to be Inspected:
Please select
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Detached building
Detached one car garage
Detached two car garage
Detached three car garage
Attached one car garage
Attached two car garage
Attached three car garage
Swimming Pool Decking or Patio
Swimming Pool & Decking / Patio
Combination of the above/ please contact
SC Grid Map #:
*South Carolina Agents Only
Method of payment:
Please select
--------------
Check to be mailed with order
Check on day of inspection
By check or credit card net 10 days from inspection date
By Visa
By Master Card
By Discover
Cash
Other:
Other services
Please select
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1-Mold / air testing
2-Dust / allergy testing
3-Stucco Screening
4-Radon Screening
5-Water test-Bacteria,Total Coliform-E coli
6-Water test - Chemical/Bacteria, Coliform-Ecoli-Lead-Nitrate-PH-Iron
7-Water test-Complete Test, all above + Alkalinity - Chlorine-
Copper Chlorine-Clarity-Hardness
8-WDIR/CL 100 Pest Inspection
Bacteria In Air Testing
Other:
Comments
*Boxes must be filled out in order to process your request. Inspections are scheduled on a first come first serve basis. We offer our services between Monday through Saturday, as long as there is sunlight for the outdoor inspection (normally 8am to 5 pm). Please allow a minimum of 1 days notice when requesting an inspection. We will contact you to confirm your request within 24 hours. Thank you.
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