Repair Order

Below is the form we use to take all of our repair order requests. Knowing that your time is very valuable, we try to get ALL of the information needed to schedule as-soon-as possible. It has always been our goal to fulfill the needs of our clients, and by having this completed information, we hope to continue to meet those needs.

Please have your client sign the contract and deposit. Return to Gold Country Termite Control. We will notify you and your client of the scheduled project date.

Please complete the following as much as possible. There are three required fields to be filled out, they are, the Name, Phone Number and Email address of the person requesting the work. If you are unable to complete any other fields, this information will be taken over the phone when we call you with the scheduled time.

Project Site Information

Report Number:
Name of Client(s):
E-Mail:
Address:
Phone:
-
Closing Date:
Project site occupied?
Electricity On?
Water On?

Person Ordering Repairs

Name (Person Ordering):*

Access Information / Comments

Access Information (Name of Person to meet, lockbox, key under mat, owner to be home, etc.):
Comments/Special Requests, etc.
Spam Verification:

Office: 144 Hughes Rd Unit A,  Grass Valley CA 95945
Mail: PO Box 1624, Grass Valley CA 95945
Email: goldcountrytermite@sbcglobal.net www.goldcountrytermite.com
© Copyright 2017 Gold Country Termite Control.

Grass Valley 530-272-2339
Grass Valley Fax 530-272-9263
Auburn 530-888-8917
Truckee 530-582-5767

Office
144 Hughes Rd Unit A,
Grass Valley CA 95945

Mail
PO Box 1624
Grass Valley CA 95945

Email
 goldcountrytermite@sbcglobal.net

530-272-2339  Grass Valley
530-272-9263  Grass Valley Fax
530-888-8917  Auburn
530-582-5767  Truckee
530-550-1163  Truckee Fax

© Copyright 2017
Gold Country Termite Control