Fill and Sign the Pest Control Services Police Department Form

Pest Control Service Agreement Agreement made on the _______________ (date) , between __________________ (Name of Owner) of ___________________________________________________________ _________________ (street address, city, county, state, zip code) , referred to herein as Owner , and ______________________ (Name of Pest Control Servicer) , a corporation organized and existing under the laws of the state of ______________, with its principal office located at ____________________________________________________________________ ___________ (street address, city, county, state, zip code) , referred to herein as Contractor . Whereas, Contractor operates a pest control business; and Whereas, Owner desires to retain Contractor to service his home at the address set forth above (the Premises ) pursuant to this Agreement; Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Information Provided by Owner A,Pest Type: __________________________________ B, Location of Pest: _______________________________ C. Status (of extent from Owner’s viewpoint): ________________________________ 2. The undersigned Owner of the Premises request and authorize Contractor to carry out a survey and treatment to attempt to eradicate the infestation highlighted above at my Premises. The treatment to be carried out on my Premises has been fully explained to me and a poison safety sheet, together with a survey checklist detailing the number and positions of any bait points being used, has been left with me by the Contractor. 3. The undersigned Owner agrees to pay on demand the appropriate and reasonable charges for the service. Witness our signatures as of the day and date first above stated. ___________________________ (Name of Contractor) ________________________ By:_________________________ (Printed name) __________________________ ________________________ (Printed name & Office in Corporation) (Signature of Owner) __________________________ (Signature of Officer)