Nevada Mold Testing Institute

3300 E. Flamingo Rd.
Ste. #17
Las Vegas, NV 89121
702)247-MOLD
(6653)
dennis@nvmoldtesting.com

gerry@nvmoldtesting.com

Order an Inspection

Buyer's Agent Information

Buyer's Agent:

Phone number:

Fax number:

Inspection Information

Requested inspector:

Requested inspection date:

Requested inspection time:

Please provide an alternative date and time. NV Mold Testing will attempt to comply with your request for an inspector and date. However, due to scheduling complications your date or inspector may be subject to change when your request is confirmed.

Alternative inspection date:

Alternative inspection time:

Subject Property Address:

Street address:

City, state and zip:

Metro map:

Gate code:

Notes:

Client Information

Name (first, last):

Phone number:

Will client be present at the testing or survey:
Yes
No

Method of Payment

Check
Bill Client
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Master Card