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Harvester Termites Questionnaire

Harvester Termite Inspection Survey

Date of Treatment:
Province: (Please Select)

Suburb:
Area of infestation: (Please Select)

Extent of infestation inside or outside the structure: (Please Select)
Estimation of total area (m 2 ) of infestation:
Where was the infestation found?: (Please Select)
Type of treatment used:
Type of Harvester Termite: (Please Select)
Type of application: (Please Select)
Comments:
Name:

Surname:

Company Name placeholder:

Address:

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Closing Date emailer 2018