The Home Inspector Locator Membership Application
Company Name:
Contact First Name:
Contact Last Name:
Address:
City:
State:   Zip:
Business Phone: (Required format: 949-366-0672)
Business Phone to publish on the directory: (you may want to publish your toll free number)
Cell Phone:
Fax: (Required format:949-361-0124)
(must be a dedicated Fax line)
E-Mail Address: ( Must not use an autoresponder )
Web Site Address:
(e.g. http://www.InspectionNews.com  )
Years of Experience in Home Inspections:
Describe Area of Service:
(Max length 15 words)
                                           
Example >> Providing complete Home Inspection Services in the Minneapolis and St. Paul metro area.
Memberships & Certifications:
(Max length 15 words)
Example >> Member of ASHI (Member Number 12345), Member of NABIE since 1988.

Inspection License Number
(if required):

Radon Testing  License Number (if required):

Liability Insurance Company:

 Policy #

Errors and Omissions Insurance:

 Policy #

Please select the type of inspections you perform
(Only select the services that you are qualified or licensed to perform)
Residential Home Inspections
Commercial Inspections
Radon Inspections
Lead Testing
Water Testing
Termite Inspections
Multi-Family Inspections
Preferred Method of receiving referrals:     Email  Fax