PROVIDING YEARROUND PIECE OF MIND FOR SEASONAL HOMEOWNERS

Inspection Address

Name:
Street:
Town:
State:
Zip:
Local Phone:






Billing Address

Street or P.O. Box:
Town:
State:
Zip:
Home Phone:
Work:
Cell:
Email:





Checks to Begin on:
Checks to End on:




Please specify preferences below with a check mark after desired option

FREQUENCY OF CHECK:

2 x week:
Weekly:
Bi-weekly (every other week):
Other (please specify):






SPECIAL CHECKS & PLOWING SERVICES:

After severe storms:
Prolonged power outages:
Plow driveway (snow over 4"):




CLIENT CHECK LIST

Hidden key location:
Alarm Information (800):
Code:
Password #:





LOCAL EMERGENCY CONTACT PHONE

Home:
Work:
Cell:




AUTHORIZED SERVICEMAN or COMPANY

Plumber:
Electrician:
Heating System:
Fuel Supplier:



phone #:
phone #:
phone #:
Automatic Delivery?




The owner agrees not to hold Rent-A-Son©responsible for any illegal or unauthorized trespassing,
entry, or vandalism. The owner further agrees not to hold Rent-A-Son© responsible for natural
disaster damage, any damage occurring during or between inspections, or when Rent-A-Son© is
seeking to act in the owner's best interest during an emergency.