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Commercial Pe <br /> St Control <br /> < Agreement <br /> .' <br /> Company 6 ' r � �' e^' - ,• <br /> —_ Contact nV: i W-, ,, <br /> Address Telephone " l� • <br /> City Address "lit <br /> State Zip City <br /> Telephone <br /> State k -4A <br /> ❑ Multiple Locations Attach Location_Listing <br /> rm�ntxomnlerctai + mm_ <br /> Terminix will. erform regularly scheduled service the above service address for,the control of the folio <br /> P � Y_ <br /> wing pests. <br /> Service Frequency <br /> Cockroaches MiceX Monthly ❑ Semi-1Vlorithly { r <br /> Silverfish Ants(excluding Carpenter,Pharaoh and Fire) ❑ :Bi-Monthly ❑ Weekly y� " -• <br /> Rats ❑ Other ❑ i .;" i <br /> Quarterly ❑ Other <br /> Additional Service,Information ''°' . `.�' ;1 �' �• .,. •� "'�',:.`=r <br /> s��'� SY �.��:;'�'.4� r"ti "..� i� ` ;{ .,r��r �^ \ 9,4: - cR- '.3-,,"•!" - � y <br /> ;' -3.#.ti'' <br /> y <br /> ddenr�umis:�atd�"cut�f3)'IJISi'kl-E� � �Y� � r �" t := rx r <br /> Customer Preparation Checklist Part 1'. ❑.S�ghtingLog Equipment Sales <br /> ❑ Customer Preparation`,Checklist.Part 2 ❑ Customer Prep.Checklist forApartmeats. ❑ <br /> ❑ Service Schedule.Checklist ❑ optional~ -, ❑ <br /> P ,.gym &�k <br /> V�i3araui aiNnela .- :;: AYYnmw• r .:, �_.__.:-�Y..v ..'k ��a ....4�'� gid...+rr�.� <br /> Initial Service Charge :s. Down <br /> Regular Service Charge $ Payment Amount <br /> Sequence Number <br /> Annual Total $ � Received 4t <br /> o Completion . <br /> Less,3/a Year Advance-Payment*. $'. Amount - De osit.Number <br /> Account N <br /> Total Due; . <br /> Nil 1 . <br /> You may recognize.6 3"/o-discount forpre` <br /> -gayiag:one years service charge in::advance* . <br /> This is to cert' that Tax Esem tion:Certificate Number <br /> y p has,been furnished with this.Agreement to Terminix. <br /> This agreement is suiiject to the Terms and Conditions on the Imat:and back,.: <br /> including the lVMandatoryArbitration provision. Customer/Agent signature- <br /> This <br /> ignatureThis agreenteut is for an initial<peryod of twelve months from the date,of the.first service and,unless canceled by the Purchaser,will automatically <br /> continue on a monthly basis until canceled by:either.party upon thh'ty'(30) days.notice..This agreement is not valid unless accepted by.customer <br /> -within 304 <br /> ays of submission.': <br /> : .In the-event yon:have any questions or complaints,you may contact <br /> nhr11 flj.MWG"i A ' a a Terminix representative.by calling 1-800 ERMINIX(1-800-837-6464) <br /> Terminix Office .-+ Telephone3 r' <br /> T <br /> ? ` ; By r <br /> Address 3 Title <br /> der-;��e'- <br /> _ ! <br /> : <br /> �:�� � - .. <br /> TER.MINIAREPRESEh1TATIVE(print name) � � .DATE ��� Date f "' <br /> fes,- ,. -� <br /> !T ERMINIXREPRESENTATIVE.SI NATURj Y ` <br /> JUMNIX <br /> Not available in California' <br /> vnvw.terminix:cam' - <br /> _ Key#33231,Rev.4/DS A/P.-5168 <br /> 02008 The Te,rri;nix.lmernational_CompanyLP. - CUSTOMER COPY -- - - <br /> '� . <br />