Water Pro Request a Water Test on Property Closings Home

We are committed to providing you with exceptional service.

Please Note: If you order a CHLORINATION with a BACTERIA Test, and the Bacteria Test fails, we will perform the first retest at no charge. Additional retests will be at the regular rates. If for any reason you need a "rush" on any of these tests, there will be an additional charge for each test and we will make sure it is handled promptly. Thank you for your business: Water Pro Inc.

Middle Peninsula/Northern Neck - Water Test Request Form

Your Email:
*Seller's:
*Current Address:
*Site Address:
*City
*Zip
Directions to Site:
Power On?
Outside Faucet
Home Occupied?
Type of Financing
*Crock Well?
*Any Plumbing Work done in Past Month?
*Water Treatment in Home?
*Purchaser:
Closing Attorney:
Attorney Phone:
Attorney Email:
Attorney Fax:

*Realtor Name:
*Realtor Phone:
Realtor Email:
Realtor Fax:
*Realtor Firm:
Fax to:	Realtor Attorney
Mail to:	Realtor Attorney
Bacteria Test $65
Lead Test $60
Chlorinate Lines or Well w/ Bacteria Test $30
Whole House Chlorination $70
Nitrate/Nitrite Test $80
FHA Sketch $55
FHA Letter $27.50

Closing Date:
*Responsible Party for Payment:
*Billing Address:

* Required Fields

	Water Pro, Inc. P.O. Box 122 Gloucester, VA 23061
	Phone: 804-693-7294 Fax: 804-693-5546
	dorothy@waterproinc.com

Middle Peninsula/Northern Neck - Water Test Request Form