Request A Quote Service Plan - Regal Pest Control

Is this quote for a home or business? *

Company Name *

What type of business? *

Your Name *

First

Last

Service Address *

Address Line 1

Address Line 2

City

State

Zip Code

We Offer Quarterly Service Plans Only For Residential Locations.

Would you like monthly or quarterly services?

What is the square footage of the home? *

What is the square footage of the business? *

How many buildings are there? *

Your initial price will be

$225.00

Your quarterly price (every 90 days) will be

$115.00

Your initial price will be

$275.00

Your quarterly price (every 90 days) will be

$145.00

For the initial service, payment will be due at the time of service. We accept cash, check or credit. *

I will pay the technician at the time of service.
I will call prior to the service date/time to provide credit card information over the phone. NOTE: Payment will be processed after the service has been completed.
I want to provide my credit card information now. NOTE: Payment will be processed after the service has been completed.

💳 Card Number *

Enter with no spaces or dashes.

CVV (Security Code) *

Expiraton Date (Month) *

Expiraton Date (Year) *

Billing Zip Code *

Please enter the email address that you'd like us to send the payment receipt and the service ticket to *

I agree to the Payment Terms and Conditions *

Would you like us to contact you to schedule the service or is there a different person (homeowner, ect.) that you'd like us to contact? *

Contact person's name *

First

Last

How would you like us to contact you or your contact person to schedule the service? *

Phone *

Email *

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