35685 Carissa Ct.   |   Wildomar, CA   92595 Toll Free: (877) 678-3244   |   Local: (951) 678-3244   |   Fax: (951) 678-6194
	E-mail us at: contact@triangletermite.com				License No. PR3596

	At Triangle Termite, we offer our services to both homeowners and agents. Please use this form to ask a question, leave a comment, or request service. If you are an agent, some additional fields have been provided for your convenience.
	Name:
	Address:
	City:
	State:
	ZIP:
	Phone:
	E-mail Address:
	Age of Home (or year built):
	Square Footage:
	# Stories:
	Type of Foundation:		Slab         Raised
	Type of Pest(s):  (please check all that apply)		Termites Ants Rodents Other         Please describe:
	Please use this area to type your question or comment.
	If you are a homeowner, please stop here and click "submit." Thank you for contacting us. We will be in touch with you soon.				Note: When you click "submit," you will be redirected to our home page.
	If you are an Escrow or Real Estate Agent, please continue.
	IT IS ONLY NECESSARY TO FILL IN WHAT IS DIFFERENT FROM ABOVE
	Company Name:
	Contact Name:
	Address:
	City:
	State:
	ZIP:
	Phone:
	Fax:
	E-mail Address:
	Close of Escrow date:  (if applicable)
	Property Vacant?		Yes         No
	Lockbox Present?		Yes         No
	Do you require a meeting with termite inspector at the site?		Yes         No
	Who would you like us to contact to schedule the service call?		Agent         Homeowner
	When you are finished, please click "submit." Thank you for contacting us. We will be in touch with you soon.				Note: When you click "submit," you will be redirected to our home page.

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