Pest Control Form
Contact Information
Job Name
Name
Property Address
Email
Phone Number
Billing Address
Is billing address same as property address?
Yes
No
Billing Name
Billing Address
Billing Email
Billing Phone
Pest Information
Type of Pest
Select an option
Crawling insects
Flying insects
Rodents
Crawling Pest
Select an option
Ant
Cockroach
Bed bug
Flea
Spider
Carpet beetle
Mite
Silverfish
Woodlice
Other
Flying Pest
Select an option
Wasps
Flies
Honeybee
Bumblebee
Moths
Clusterfly
Blue bottle fly
Hornet
Other
Rodent
Select an option
Rat
Mice
Squirrel
Mole
Other
Other Pest Description
Issue Details
Description of Issue
Where is the issue?
Signs of Infestation
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Hearing noises
Seeing droppings
Chewed items
Nesting materials
Other
Other Signs
Property Details
Property Type
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Domestic
Commercial
Service Details
Date of Service
Time of Service
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AM
PM
Payment Details
Purchase Order or Work Order Number
Payment Method
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Cash
Stripe
Revolut
BACS
Send out invoice
Quote
Job Price
Ex VAT
Company Selection
Which company is this for?
Select an option
Dartmoor pest control
Plymouth pest control
Submit