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Service Work Order Form
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Billed To (if different than above)
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Service Needed
Termite Treatment
Powder Post Beetles
Old House Borers
Dehumidifier
Install Moisture Barrier
Scrap Wood Removal
Other
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Chemical Needed (if applicable)
Termidor
Premise Pre
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Other Chemical (if applicable)
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Type of Treatment
Exterior Only
Other
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Other Type of Treatment (if applicable)
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Foundation Type
Supported Slab
Monolithic Slab
Crawl Space
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Dehumidifier
Compact
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Other Type (if applicable)
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Need Waiver
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Additional Information
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Cost Breakdown (if multiple)
Termite Treatment
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Moisture Barrier
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Dehumidifier
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Powder Post Beetles
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Old House Borers
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Scrap Wood Removal
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Other
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Total Cost
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Date Completed
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Completed By
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Auhtorized Representative
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910-696-6871
Address
2701 Commerce Rd
Jacksonville, NC 28546
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