OMNI HOME SERVICES
Trusted Vendor / Preferred Partner Portal
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Trusted Vendor / Preferred Partner Portal
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Submitter Info
Your Name:
*
Your Email Address:
*
Your Company:
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My City Home Inspector
Nuclear Pest Control
Radon Eraser
Project Triumph
Yellow Door
Elevate Home Staging
Omni Answers
Referral Info
Client Full Name:
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Client Phone Number:
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Client Email Address:
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Property Address:
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Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Payout Preference:
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Cash/Check
Venmo
PayPal
CashApp
Username or Handle:
*
is (copy) or
Trusted Provider / Preferred Partner
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Brothers Gutters
Craften Home Services
KB Pressure Washing
Nuclear Pest Control
Provision Plumbing
Radon Eraser
Craften Home Services
What best describes this project?
Repair
Replacement
Rejuvenation
Is this part of a real estate transaction?
Yes
No
How urgent is the request?
ASAP
Other Deadline
Pretty Flexible
Just Exploring
Approximate age of the roof? (if known)
Service Summary / Additional Notes
*
KB Pressure Washing
What type of service is needed? (all that apply)
Deck Cleaning
Driveway / Sidewalk
House Exterior
Pressure Washing
Roof Cleaning
Soft Washing
Other
Service Summary / Additional Notes
*
What’s the client's timeframe?
ASAP
Other Deadline
Pretty Flexible
Just Exploring
Did the client request a call or quote from KB?
Please call the client
Please email the client
No rush, just wanted to refer them
Did you mention the $75 Off Promo?
Yes
No
Radon Eraser
Is this part of a real estate transaction?
Yes
No
Who is requesting this quote?
Buyer
Buyer's Agent
Seller
Sellers Agent
Property Owner
What type of service is needed?
Radon Test
Onsite Assesment
Radon Mitigation Installation
Mold / Indoor Air Quality Testing
Vapor Barrier Installation
Radon Monitoring
Foundation Type:
Slab
Finished Basement
Unfinished Basement
Encapsulated Crawlspace
Un-encapsulated Crawlspace
Combination of Above
Unsure
Square Footage of Property:
Number of Stories:
1-2
3+
Service Summary / Additional Notes (copy)
*
Nuclear Pest Control
What type of service is needed?
Termite
Powderpost Beetle
Mold / Fungal
Vapor Barrier Installation
Other
Service Summary / Additional Notes
*
Brothers Gutters
What type of service is needed?
Gutter Repair
Gutter Ceaning
Gutter Installation
Radon Exhaust Solution
Fascia Repair
Other
File Upload
Click or drag a file to this area to upload.
Service Summary / Additional Notes
*
House location, color, length, etc.
Submit
