ALLIN Home Inspections, Inc.  
"Don't Buy or Sell A Home Without Us" 

Payment Page

Please fill out all the information below to ensure proper credit to your account.     

Customer Information      
Payment For:
Home Inspection        Radon Test  
 Home Inspection & Radon Test  
 Radon Test Kit (for non-Real Estate transactions)  
Name
 Address
City
State
Zip
Home Phone
  
Work Phone
  
Email


Billing Information:  Exactly as it appears on your credit card statement
Address
City
State
Zip

Inspection and/or Radon Measurement Property Location - Do not fill out for test kits
Address
City
State
Zip

Shipping Information - For Test Kits Only
First Name
Last Name
Address
City
State
Zip Code
Test Kit Information

Quantity                                        
 
Description- Short-term-48 hour Test Kit  @ $17.00 each

Total Cost
(enter this amount in the Payment Amount Below)

Credit Card or Debit Card Information
Credit Card
Master Card Visa Discover
Name
as it appears on card
 
Credit Card Number
Expiration Date
Security Code
     
Invoice Number
If Applicable    
Payment Amount



By selecting the Send Secure Payment button you are authorizing ALLIN Home Inspections, Inc. to bill this credit card for the amount specified or for the invoice number amount if payment amount is incorrect.