• Please fill out all fields on this form.
  • Read and check the 3 agreement boxes below.
  • Click on the 'Send Agreement' button below.

  • First Name:
    Last Name:
    Inspection Address:
    City, State, Zip Code


    YES, I agree to the terms above.

    NO, I do not agree to the terms above.


    YES, I agree to the terms above.

    NO, I do not agree to the terms above.


    I have read, understand and agree to all terms and conditions of this contract. I agree to pay the inspection fee listed and read all pages of the inspection report including any Supplemental Information provided.
    YES, I agree to the terms above.

    NO, I do not agree to the terms above.

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    To send your agreement, click the 'Send Agreement' button once.

    Please wait for the confirmation page after clicking on the 'Send Agreement' button to make certain your agreement has been sent. Call Americana Inspection Services, LLC., (480) 628-3290 if you have any problems or questions




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