Client Name (required)

Client Phone Number (required)

Client Email (required)

Name of Real Estate Agent (required)

Real Estate Agent Phone Number

Home Inspection has to done by (required)

Inspection Property Address (required)

City (required)

State (required)
North DakotaMinnesota

Zip Code (required)

Home Inspection Package
Ultimate InspectionEnhanced InspectionBasic Inspection

Radon Testing
Yes I want a Short Term Radon TestNo I do not want a Radon Test

Mold Testing Request (required)
I would like the home to be tested for mold.No I do not want mold testing

Indoor Air Quality Testing Request (required)
I would like the air quality testedNo I do not want the air quality tested

Sewer Inspection Request (required)
I would like the sewer to be scoped.No I do not the sewer scoped

Chimney Inspection Request (required)
I would like the chimney be inspected.No I do not want the chimney inspected

Well Water Testing Request (required)
I would like the well water testedI do not want the well water tested

Please Select if you are Veteran or First Responder (required)
Not ApplicableVeteran of the US Armed ForcesFirefighterPolice OfficerMedical DoctorMedical Nurse

Additional Comments or Questions

How did you find Paxton Inspection Services? (required)
Referral from AgentGoogle SearchBing SearchFriend ReferralOther