Has areas for type of construction, treatment, customer account information, bait, retreat information and conducive conditions.

Printed on 2 part carbonless (white & canary) paper in your choice of Red, Ivy Mint Green, Amazon Green, Brilliant Blue, Reflex Blue, Black or Burgundy Ink with your company name, address & phone number at no additional charge.

Size 8-1/2 x 11

If special wording is needed to better accommodate your company's needs or to comply with Pest Control Association or State Regulations, forms can be altered for a small additional fee. (Price would depend on amount of changes made.Call Customer Service for more information

1-800-252-4011).