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Customer Pest Control Request Form

(Please provide all information below)

    Pests Controls Required:

    **If the customer does not want any spraying done FIM can offer various baits and traps. Disinfectant Spraying, Hygiene and Cleaning Services can also be provided.

    Customer Information:

    Will the customer be spending time out of the house once pest controls are complete?

    Does the customer have children and pets? Please provide details.

    Is anybody living/working at the premises allergic to Pyrethroids or any other chemicals?

    Payment Information: