Home > Sign Up > Online > Bed Bug Service Agreement Bed Bug Service Agreement Please enable JavaScript in your browser to complete this form.Your Information - Step 1 of 2Name *FirstLastCompany Name (Optional)Street Address: Service Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Phone - Alt (Optional)Email (Optional)If you provide your email address, a copy of your signed Service Agreement will be emailed to you.NextBED BUG SERVICE AGREEMENT BED BUG SERVICES/TREATMENTS ARE NOT GUARANTEED Regal Pest Control (“we”, “us”, “our”) does not guarantee that the treatment(s) or service(s) rendered at the service location will eliminate or kill any bed bugs. It is possible that we may conduct several treatments and will be unable to eliminate your bed bugs. We do not guarantee any portion of the services provided. RECOMMENDED NUMBER OF SERVICES We recommend, even for minor levels of bed bug activity, a total of three treatments, spaced two weeks apart. This is not to say that a one-time treatment will not kill bed bugs, but bed bug eggs are resistant to pesticides and a minimum of three treatments is highly recommended. PRICED PER TREATMENT Bed bug treatments are price per unit/per treatment. Any follow-up treatments desired by the customer will be at an additional charge and may be higher or lower than the cost of the prior treatment(s), based on several factors, including but not limited to activity level, ect. NOT RESPONSIBLE FOR EXPENSES Regal Pest Control will not be responsible for any expenses related to the replacement of linen, upholstery, furniture, mattresses, soiling or any other damages or related costs due to the services or treatments we've conducted. We will not be responsible for expenses related to medical evaluations or treatments for bites associated with bedbugs, damages or expenses for any claims of personal injury related to an infestation of bedbugs or loss of income claimed to be related to any bed bug bites or associated illnesses. HOLD HARMLESS AND INDEMNITY You, the customer, agreed to indemnify, release and hold harmless Regal Pest Control from and against any and all legal claims, including but not limited to personal injury or property damage that may arise from Regal Pest Control’s bed bug services. AUTHORIZATION You, the customer, have authority to grant access to the property and authorize Regal Pest Control to conduct bed bug treatments/services. Accepted By (Customer) *DISCLAIMER: By typing your name, you are signing this Service Agreement electronically. You agree that your electronic signature is the legal equivalent of your physical signature on this Service Agreement.Today's Date *Would you like a printed copy of your signed Agreement mailed to you? *YesNoWould you like us to mail your signed Agreement to the service address or a different address? *Service addressDifferent addressMailing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreviousNameSubmit Agreement