Contact Name

 Company /Office /

 Resort/ Applicants Name

 Occupation

 Address

 Telephone  No:

 E. mail  address

 Web Site

 Part Two

 Please select the category you belong.          Please select Flat/Apartment/House Island Resort Hospital Restaurant Hotel Company/Office School/Institute Bank Other                                  

 Part Three

 Please select the pest you want to treat.       Please select Cockroaches Flies Mosquitoes Rats & Mice Ants Termites Other Pest

 Part Four

 Please  specify the number of rooms to be treated.                                                 

 Part Five

 If it is Island resort in  the Maldives  please fill the following.

 Part Six

 Please tick the treatment package you prefer.                                                                   

 P.S Basing technician for the whole month is for Island resorts only

 Part Seven                                                                                                                                         

 Please specify the budget range you would like to negotiate.                                         

 For further inquiries  write the message below.

The Male Pest Control Service  sincerely thank you  for filling this form

please click the Submit button for  inquiries.