Matthew Pedersen
The BrickKicker of
Spokane
509-891-5425
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We look forward to help make your dreams come true!

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Please fill in this simple form so that we can best serve your needs as conveniently for you as possible. Fields marked with a red asterisk (*) are required and we cannot process your request without answers to these fields.

Appointment Request

Your Name*
Your Email*
Your address
Daytime Phone*
Home Phone*
Mobile Phone

Information about the Home to be Inspected:
Address
City
State
Approximate Square Footage
Number of bedrooms
Number of bathrooms
Age of home

You are the:
If you are not the realtor:
Realtor Name:
Realtor Company
Office Phone:
Mobile Phone:

Please choose a time when we can perform the inspection

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Second Choice:
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Please identify the service(s) you are requesting The BrickKicker professional to arrange for you.

Property Inspection:

	Single Family
	Townhouse
	Condominium
	Multi-Unit
	Manufactured Home
	New Construction with Punch List
	New Construction/Builder’s 12 Month Warranty
	Home Maintenance Review (HMR)
	Other:

Ancillary Services:

	Termite/Pest Inspection
	Radon
	Pool
	Spa
	Well
	Septic
	Other Environmental Testing (i.e. Lead paint, lead water)

	FHA/VA Certifications
		Structural
		Electrical
		Plumbing
		Roof
		Other:

Note: Not all of the above services are offered by each BricKKicker franchise. Your local BrickKicker will notify you of the services offered.

Comments:

Thank you for selecting The BrickKicker to be a part of your home buying experience. Your local The BrickKicker professional will contact you shortly to confirm your request.