Title:

First Name:*

Surname:*

Current Address:

Phone:*

E-mail:*

Street Address:*

Suburb:*

Postcode:

Melway Ref:

Company:*

Contact Person:

Phone:*

Select one or more of the following inspections you wish to have conducted:
(* select at least one)

  Building Inspection

  Timber Pest Inspection

  Energy Efficiency Inspection

Select the category which best describes the property to be inspected:
(* select only one)

  Apartment (located within a multi-unit building complex)

  Small Home / Unit / Townhouse (up to 2 bedrooms)

  Medium Home / Unit / Townhouse (up to 3 bedrooms)

  Large Home / Unit / Townhouse (up to 4 bedrooms)

  Larger Property (more than 4 bedrooms): (enter amount here as advised by Homespect)

Do you have any concerns or specific areas you would like inspected?

  Internet

  Accountant

  Buyers Advocate

  Local Advertisement

  Mortgage Broker

  Friend / Referral

  Real Estate Agent

  Other: