Real Estate Service Request
Address to be inspected (all fields required):
Number & Street:
Property Owner / Seller's Name:
Property Buyer's Name:
Service area is in (select one):
Includes Wisconsin counties of Barron, Brown, Calumet, Chippewa, Clark, Door, Dunn, Eau Claire, Fon Du Lac, Forrest, Kewaunee, Lincoln, Manitowoc, Marathon, Marrinette, Oconto, Oneida, Outagamie, Pepin, Portage, Price, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Waupaca, Winnebago, & Wood.
Includes Wisconsin counties of Adams, Buffalo, Columbia, Crawford, Northern Dane, Dodge, Green Lake, Jackson, Juneau, Langlade, Marquette, Menominee, Monroe, Richland, Sauk, Trempeleau, Waushara.
Service fee must be paid prior to or at the time of service. Checks are accepted on-site at the time of service. If you wish to pay by credit card you must call our office at (715) 842-2215 prior to the inspection date .
Requestor's Company Name (if applicable):
Requestor's Name (first, last):
Requestor's Billing Address:
Requestor's Billing City:
Requestor's Billing State:
Requestor's Billing Zip:
Requestor's Phone Number:
Requestor's Email Address:
Method of Payment (select one):
I will have a check at the time of serviceI would like to pay by credit card (To pay by credit card call our office at 715-842-2215 with your card number)
Enter the letters or numbers above into the box below: