On the form below, please type the information requested.  Confirm by clicking "I Accept

DLHI Legal Terms" that you have read, understood & accept the terms of the above

document(s).  As well, please print a copy of the applicable above document(s), sign or

initial as instructed, and send them to us either by email or you may mail them to us at

the address noted on the bottom of the contract.  You may also send payment along with

the document(s) to the same address if you have not already paid for this service.

First Name:      

Last Name:      

eMail address: 

Current Address:               

Current City, State, Zip:     

Current Phone Number 1:  

Current Phone Number 2:  

Contract for which you are accepting terms:   Select Inspection Type Below Home Inspection Service - Rev.10-0403 Budget Home Inspection - Rev. 10-0405 a' la Carte Home Inspection Service Phase Inspection (Phases 1 or 2)