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Order Form
First Name (Client):*
Last Name (Client):*
State and Zip:
Daytime Phone:() -
Evening Phone:() -
Fax:() -
Inspection Address:
Inspection City:
Inspection State and Zip:
Age of Home:
Total Sq. Footage:
Foundation Type:
Number of bedrooms:
Number of Bathrooms:
Occupied (Yes or No):
Utilities (Yes or No)
Request Date:
Request Time:
Additional Information:

Information and Request Security

Wilkerson & Company will take precautions to protect your information.  When you submit an inspection request via our website, your information is protected both online and offline. We are the sole owners of the information collected on this site. We only have access to collect information that you voluntarily give us via email or other direct contact from you. We will not sell this information to anyone. Only employees who need the information to perform a specific job are granted admittance to client and inspection report information. The computer and database which we store client information are kept in a secure location. If you feel that we are not abiding by this privacy policy, you should contact us immediately.