Chrome Inspection Form Chrome Inspection Form Get Started Here CARIBPEST CHROME MEMBERSHIP APPLICATION [CONFIDENTIAL INFO]Shop G-11, 4 Lismore Avenue, Kingston 5. Telephone 1-876-969-8378APPLICANT INFORMATION FOR A ONE YEAR RESIDENTIAL MEMBERSHIP IN OURTERMITE INSPECTION CLUBThis is an Agreement between Carib Pest Control Limited and: Name * Nationality * Customer Type Owner Renter Buyer Profession Cell Phone Home Address City Other Contact Info Town Email Postal Zone Land Line Phone PRIMARY PURCHASE OR INSPECTION LOCATION INFORMATION FOR WOOD INSECT/S Roof Type Wall Type Knog Wood Block & Steel Foundation Type Location Address On Spot Contact Phone City Landmark Town Fax Postal Zone Looking to To BUY To RENT Method Of Payment Multiple Addresses? Yes No ALTERNATIVE CONTACT Name of a person who you authorize to receive this report: The report will be in the club member’s name only and is not transferable. The Warranty period is intent and pest specific to this address and its measurements. It becomes effective upon receipt of full payments and expires one year after the date of the Inspection. Address/Email Phone City Town Postal Zone Relationship PARTNERSHIP INFORMATION IF JOINT MEMBERSHIP (ADDITIONAL FEE OF JA$1500.00 EACH) Name Relationship Age (Must be over 21 years) Phone EMPLOYMENT OR BUSINESS ADDRESS INFORMATION[NOTE: THIS IS NOT A CORPORATE MEMBERSHIP] Name of Employer/Business Employer/Business Address: Reference Phone City Position Email Town3 Type Business Fax Postal Zone Branch Locations OTHER RESIDENTIAL PREMISES OWNED OR MANAGED FOR INSPECTION Name Name Name Address Address Address Location Contact's Phone Location Contact's Phone Location Contact's Phone NAMES IF THERE IS PERMITTED INTEREST IN, OR COPIES OR REPORT ARE TO BE SENT TO. (EMAIL) Name/Email Name/Email Name/Email Name/Email I authorize the inspection of the addresses provided on this form. We will make all the necessary arrangements for the examination to be conducted at the times and date specified. In the case of purchases, we will provide the owners with information about your expected visit and get their consent to examine the structure. We understand that all information collected will be held in the strictest confidence and made available only to me, the above named client or my nominee. We understand that the information will not be copied. All out of town inspections accrue a transportation cost. A Pre-payment or a deposit is required for non members before visiting any site. Where a particular aspect of an inspection could not be ascertained because of inaccessibility the notation -nd- ‘not determined’ will be made. We ask that we be well informed of any postponements or cancellations because the log use of those crew and equipment are strictly logged and any sudden change will mean an inability to reshuffle a client to that slot. Appointments, especially out-of-town sites, have to be kept or the visit may still attract a visit expense. Where necessary clients may be asked to speak directly to the ‘seller’ to clarify our reason for visiting. Usually new homes are vacant but if it is occupied we may ask that items be cleared from certain “covered” areas. The below will then apply. Agree Agree Disagree