This form is for REALTORS ONLY to order the Wood Destroying Insect and
other inspections. If you have any questions or concerns when completing this
form, please call (877) 722-0065. Thank you for your business!
Bill to:
 Access:
 Papers to:
Seller
Seller
Realtor
Buyer
Buyer
Attorney
Attorney
Realtor
Lender
Other
Lockbox
Title Co.
Date Inspection Ordered*
* indicates a required field
REALTOR
Name*
Phone # *
Office*
 Phone #
Office Address
Agent Email *
PROPERTY
Property Address*
Seller*
Phone #
Buyer
Phone #
SETTLEMENT
Attorney*
 Date*
Address*
Phone # *
Fax #
Special
Instructions
Also Needed:
WELL   $55
(Water Test)
 SEPTIC   $55
(Septic Walkover)
 Mold Test      $200
Radon Test    $140
Home
Click the icon below
to access a complete
list of services that
we offer to better
serve you.
WDI
Inspections

$25
ALSO AVAILABLE

Well Chlorination
$485

Call to order
(877) 722-0065
or
(540) 722-0009
PO Box 1876  ♦  Winchester, VA  22604
Office: 540-722-0009    ♦    Fax:  540-722-0045
Email: office@goeco-pro.com
Real Estate Inspections