Wayne Cowart and Associates

  Termite Damage Investigations and Consulting Service

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Consumer Questionnaire

What is the name of your pest control company?  

What type of Guarantee (if any) do you have? 

Do you have a copy of your original contract with your pest control company?  Yes     No 

Date of initial treatment: 

Date damage discovered: 

What do you feel your pest control company should do and why?

What do you believe your pest control company has done improperly?

Are you currently in litigation?  Yes     No 

Additional Comments:

 

Contact Information:

          Name: 

      Address: 

   City, State:      Zip: 

  Day Phone:     Best Time:     a.m.      p.m. 

Night Phone:     Best Time:     a.m.      p.m. 

          E-mail: 

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Last modified: 04/11/06