Radon Test Agreement

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Prior to completing this online form please read the full Radon Test Agreement located at
https://daytonradondoctor.com/radon-test-agreement

Email *

Dayton Radon Doctor, LLC

Is this test a part of a real estate transaction, or for health and safety screening?

Real Estate Transaction (buying or selling)

Health/Safety Screening

To Check if Existing Radon Mitigation System Working Properly

This Agreement is made and entered into by and between Dayton Radon Doctor, LLC, and name below hereafter referred to as “Client”. Please type your name (the Client) in the space below: *

Please type your full address in the space below. *

County

(Check if applies) Does the above address has a

Basement

Crawl Space

Radon Mitigation System Installed

You have read the full contract located at the: https://daytonradondoctor.com/radon-test-agreement *

Yes

Required

Your Signature: *

Today's Date: *

YYYY

Send me a copy of my responses.

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