Payments can be paid at the time of service or you can fax or mail your
payment into our office.
(Please print out this form and mail in your payment to the below address)
Checks or money orders can be sent to the following address
payable to "Country Home Inspection & Termite, Inc.":
Country Home Inspection & Termite, Inc.
250 Main Street #805
Ben Lomond, CA 95005
Credit Card Payments:
For your convenience, we accept all major credit cards
(You can call in your credit card information @ 831-609-6017 or
print out this form and fax to 831-609-6037).
Name on Card: _________________________________________________
Credit Card Number: _____________________________________________
Check one: ___Visa ___Master Card ___American Express ____Discover
Expiration Date: _____________________________