Newsletter







I am the: Buyer Seller Real Estate Agent Other
*Name:
Buyer's Name:
Phone Numbers:
*Daytime: Time:
*Evening: Time:
Cell: Time:

*Email:

Real Estate Company:
Agent Name:
Agent Phone:

Requested Appointment Date:
1st Choice:
Time:
2nd Choice:
Time:

PROPERTY INFORMATION
*Address:
*City:    *State:    *Zip:
 
Square Footage of building:
*Property Type:
House Commercial
Townhouse Guest House
Multi-Family Other:

How did you hear about us? Family
Realtor Inspector
Friend Other:

Notes:
John White Sewer Line Video Inspection
3517 South Centinela Ave. Los Angeles, CA 90066
Call: 310-397-5076          This e-mail address is being protected from spam bots, you need JavaScript enabled to view it