FORMS & PRODUCTS PEST CONTROL & TERMITE. All products are 100% guaranteed! Doorhanger Envelopes. r100% GUARANTEE

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Alvin Dean
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UNCONDITIONAL RISK-FREE All products are

1 PEST CONTROL & TERMITE FORMS & PRODUCTS Contracts Invoices Statements Checks r100% GUARANTEE Envelopes Magnets Reminder Postcards Doorhanger Envelopes UNCONDITIONAL RISK-FREE All products are 100% guaranteed! 7134 Brangles Road Marriottsville, MD phone fax Member of: Forms For:

2 ACCEPTED BY: SIGNATURE ( ) Owner ( ) Lessee ( ) Agent PRINT NAME: DATE: CUSTOMER BILLING ADDRESS CITY, STATE, ZIP SERVICE PHONE TYPE OF PROPERTY TO BE SERVICED SERVICE TO BE PERFORMED SERVICE CHARGE $ CREDIT CARD NUMBER COMPANY REPRESENTATIVE TITLE: NAME ON CARD HOME PHONE DATE CONTACT NAME SERVICE ADDRESS CITY, STATE, ZIP DATE SERVICE BEGINS TREATMENT PERIOD: Your property will be serviced monthly during the following months: CUSTOMER S SIGNATURE SIGNATURE PRINT NAME: DATE: WORK PHONE EXPIRATION DATE EXPIRATION DATE TYPE CVC # DATE TEMPO 20WP EPA /396 DEMAND CS EPA DIAZINON GRANUALS EPA DELTA DUST EPA VAPON 20% EPA FICAM D EPA CB 80 EPA ENGAGE EPA WASP FREEZE EPA PERMA DUST EPA ORTHENE EPA DRAX ANT KILL GEL BAIT EPA SIEGE ANT BAIT EPA ADVANCE GRANUALS EPA DUAL CHOICE BAIT STATIONS EPA PROCIDE FOGGING 7338 EPA ULD BP-100 EPA ULD BP-300 EPA KILLMASTER EPA QUINTOX RAT/MOUSE BAIT EPA QUINTOX MOUSE SEED PAC EPA WEATHER BLOK-XT EPA AVERT COCKROACH BAIT EPA Serviced by Customer Signature AVERT COCKROACH GEL BAIT EPA PETCORE EPA RG NO PRECOR EPA TIM-BOR EPA Date Date MANY DIFFERENT FORMATS AVAILABLE ~ GIVE US A CALL! Pest Contracts Mosquito Management Service Agreement Your Company Name Address Your Company Name Address City, State Zip Phone Number Pest Control Contract Service Renewal City, State, Zip Phone Date: Customer Name: SERVICE INFORMATION Time In Time Out BILLING INFORMATION am pm Contract Renewal Service Exp. Date: am pm Name: Service Address: Billing Address: City: St. Zip City: St. Zip Home Ph: Home Ph: Work Ph: Work Ph: Monthly SPECIAL INSTRUCTIONS: April May June July Aug Sep Oct Nov TYPE OF SERVICE Service Fee Commercial New Termite Job Cust. Req. Insp. Residential Odd-Job Termite Initial Service Sales Tax Pest Renewal Termite Renewal Regular Service Odd-job Pest Termite Transfer Flea Treatment Total Amount Six-Month Follow-up Termite Retreat Ant Treatment Pest Control Sub Termite Renewal Payment Rec Yard Control Rodent Control MATERIALS USED % NAME / EPA # AMOUNT % NAME / EPA # AMOUNT % NAME / EPA # AMOUNT % NAME / EPA # AMOUNT SERVICE COMMITMENT: We agree to apply products to help reduce mosquito populations in accordance with terms and conditions of this Service Agreement. All labor and materials will be furnished to provide the most effective pest management services to help reduce mosquito populations. This program is designed to help reduce the mosquito populations by treating resting and breeding sites around the property. Your Company Name does not guarantee that mosquitoes will not be found on your property during the service period of this agreement. The customer must take additional precautions for protection when outside to prevent contracting Mosquito borne illness or disease. Customer has been advised of conditions conducive to mosquito breeding. This Service Agreement is the only agreement on this treatment. To the full extent permitted by law, there are no warranties, express or implied, including warranties of merchantability and/or fitness for a particular purpose which extend beyond the terms of this Service Agreement. To the full extent permitted by law, Your Company Name will not be liable for personal injury, property damage, loss of use, or any other damages whatsoever, including consequential and incidental damages, arising from this service. Your Company Name liability is specifically limited to the labor and products necessary to help reduce mosquito populations. Your Company Name is not liable for Mosquito borne illness or disease allegedly contracted from mosquitoes. TERMS AND CONDITIONS: Payment in full is due the date service begins. If payment has not been received by the next service date, then any unpaid charges will then be placed on an approved credit card. However, this Service Agreement is not effective until payment is received in full. If payment in full is not received within thirty (30) days, Your Company Name, at its option, may employ an attorney to aid it in collection of any unpaid balance. If Your Company Name should employ an attorney, Customer AGREES to pay all reasonable attorney fees and costs. American Express Discover Mastercard Visa Place a check mark by each target pest: Fire Ants Brown Recluse Spiders Spiders Fleas Ticks Carpenter Ants Black Widow Spiders Carpet Beetles Pill Bugs Pharaoh Ants American Roaches Earwigs Sowbugs House Ants Oriental Roaches Crickets Subterranean Termites Silverfish German Roaches Roof Rats Wasps Scorpions Brown Banded Roaches Norway Rats Yellow Jackets Firebrats Smokey Brown Roaches House Mice Bees TREATMENT AREAS * APPLICATION METHOD TREATMENT AREAS * APPLICATION METHOD Kitchen/Dining Rm Attic Living Room Closets Bedrooms Wall Voids Bathrooms Exterior #1 #2 Garage/Storage Basement/Crawl Spaces COMMENTS: Yard Offices Your Company Name Address City, State, Zip Phone Number PEST CONTROL SERVICE CONTRACT SERVICE ADDRESS BILLING ADDRESS CUSTOMER NAME: CUSTOMER ADDRESS: CITY: STATE: TELEPHONE: Structure(s) Treated: ZIP: NAME: ADDRESS: CITY: STATE: COMMERCIAL CONTRACT: ZIP: CONSUMER CONTRACT: This Contract provides for the retreatment of the areas of the covered structure(s) infested. Your Company Name is not responsible for any injury, disease, or illness caused, or allegedly caused, by bites, stings or contamination by insects or organisms. Date: Your Company Name will perform the scheduled service at the above address for the control of the following pest(s): Roaches Rats Mice Ants (Excluding Carpenter and Pharaoh) Wasps, Yellow Jackets Fleas This Contract does not, under any circumstances, provide for treatment for or control of any other insect or organism not specifically indicated by an X in this Contract. 1. PAYMENT. In consideration for the service to be provided by Your Company Name, the Customer agrees to pay to Your Company Name, its successors or assigns, the sum of $, plus tax of $, for the initial month s service of $ total. (SEE PAYMENT SCHEDULE ATTACHMENT) 2. SERVICE FREQUENCY. SERVICE SCHEDULE ENVIRONMENTAL reserves the right to alter this service schedule as circumstances warrant. Monthly Check for one month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Quarterly INTERIOR ONLY EXTERIOR ONLY All service regular and special will be performed at your convenience so as not to interrupt normal operations. Additional Instructions: This Contract may be renewed after the expiration of the original period for a renewal fee of $, unless either party provides written notice of nonrenewal thirty (30) days prior to the expiration of the Contract period. Either party may cancel this Contract at any time on thirty (30) days written notice to the other party. The renewal fee may be adjusted at the sole discretion of YOUR COMPANY NAME. Customer understands that YOUR COMPANY NAME s liability under this Contract is limited to providing a REMEDIAL TREATMENT ONLY and in no way, implied or otherwise, is YOUR COMPANY NAME responsible for the repair or replacement of any content of the structure(s). 3. DESCRIPTION OF SERVICE. YOUR COMPANY NAME will provide services for control within the structure in the following manner: 4. SERVICES PROVIDED. YOUR COMPANY NAME will conduct a thorough visible inspection of the premises for evidence of infestation and will provide treatment for the control of the pest(s) as determined appropriate by YOUR COMPANY NAME. YOUR COMPANY NAME will apply pest control products in accordance with the directions of the manufacturers of the products, U.S. EPA approved labels, and the requirements of federal and state laws and regulations. For purposes of this Contract control is defined as the periodic eradication of existing infestations within practical limits. 5. CUSTOMER OBLIGATION. Customer agrees to maintain the premises subject to this Contract in a condition which does not promote infestations. Customer agrees to maintain the premises in a reasonably clean and sanitary condition and to keep the structure in such a state of repair so as to avoid providing easy access of pest(s). If conditions noted by YOUR COMPANY NAME are not corrected as required, this Contract shall automatically terminate and be canceled. Further, additional treatments in areas of such conditions that are not corrected as reported on your Service and Inspection Report shall be paid for by the Customer as an extra service charge. 6. SERVICE EXCLUSION. I understand this agreement does not include the control, treatment, or prevention of wood infesting organisms such as subterranean (ground) termites (Reticulitermes spp; Heterotermes spp.) and Formosan termites (Cootermes spp.) or dry wood termites (Kalotermes spp.; Incistermes spp.; Cryptotermes spp.) or aerial (above-ground) infestations of any kind, powder post beetles, woodborers, wood wasps, or wood decay fungus. I expressly waive and release YOUR COMPANY NAME from liability for any and all claims for personal injury or damages to the structure or its contents caused by wood infesting organisms. ADDITIONAL TERMS AND CONDITIONS ON REVERSE SIDE By signing this Contract, I, the Customer, certify that I have read and fully understand the provisions on the front and back of this Contract with all its terms and conditions without limitation, and it being specifically understood that YOUR COMPANY NAME and the undersigned are bound only by the terms and conditions of this Contract and not by any other representations oral or otherwise. Customer may cancel this Contract at any time prior to midnight of the third (3rd) business day after execution of this Contract. Your Company Name #3 #4 Quantity 2, 5,000 2-Parts $155 $210 $395 $ Parts $185 $285 $555 $895 2-Parts: White/Yellow 3-Parts: White/Yellow/Pink

Remit To: Service Remit To: Service Comments 1. 2. 3. 4. 5. Material/Product Bill To: X TECHNICIAN SIGNATURE Payment Receipt. Please Return with Payment Remittance.

3 Remit To: Service Remit To: Service Comments Material/Product Bill To: X TECHNICIAN SIGNATURE Payment Receipt. Please Return with Payment Remittance. Account #: See Back for Additional Comments Price Payment Receipt. Please Return with Payment Remittance Account #: PO Number: Terms: Qty % Method Price Work Location: Date: Amount Paid: Time In: Time Out: X Order #: Check No. Date: Technician: Amount Paid: Check No. Amount Paid: Cash Check No. Visa/MC Amex CUSTOMER SIGNATURE Work Date Time Target Pest Technician Time In Purchase Order Terms Last Service Map Code Time Out Service Description Price * Charges outstanding over 30 days from the date of service are subject to a I hereby acknowledge the satisfactory completion of all services rendered. 1 1/2% FINANCE CHARGE PER MONTH or annual percentage rate of 18%. Customer agrees to pay accrued expenses in the event of collection. X CUSTOMER SIGNATURE PLEASE PAY FROM THIS INVOICE 8 ½ x 11 Pestpac Forms Forms For: INVOICE / STATEMENT / RENEWAL # CARTONS PRICE ,000 6,000 9,000 12,000 $195 $295 $455 $580 REFLEX BLUE BOXED 3,000 PER CARTON 8 ½ x 14 CARBONLESS LEGAL SERVICE SLIP / INVOICE AMERICAN BUSINESS FORMS & ENVELOPES ½ x 11 8 ½ x 11 Service Slip/Invoice # CARTONS PRICE 1 2,000 $ ,000 $ ,000 $ ,000 $ ,000 $ ,000 $989 CHEMICAL SERVICE SLIP / INVOICE # CARTONS PRICE ,000 6,000 9,000 12,000 $195 $295 $455 $580 CHEMICAL SERVICE SLIP W/ NO DETAIL # CARTONS PRICE ,000 6,000 9,000 12,000 $195 $295 $455 $580 REFLEX BLUE BOXED 2,000 PER CARTON 2 SIDED PRINTING WITH NCR REFLEX BLUE BOXED 3,000 PER CARTON REFLEX BLUE BOXED 3,000 PER CARTON MANY DIFFERENT FORMATS AVAILABLE ~ GIVE US A CALL! 3

4 Service Invoices/Work Orders/Proposals Job Invoice #211 5½ x 8½ Many More Formats Available. Give Us A Call!! 211 JOB INVOICE QTY. 2 PART 3 PART $137 $ $233 $ $362 $465 2-Parts: White / HARD COPY 3-Parts: White / Yellow / HARD COPY Numbered in Red Ink Job Invoice #6544 8½ x JOB INVOICE QTY. 2 PART 3 PART $187 $ $315 $ $572 $653 2-Parts: White / HARD COPY 3-Parts: White / Yellow / HARD COPY Numbered in Red Ink Proposal Proposal Page No. of YOUR COMPANY LOGO PROPOSAL SUBMITTED TO PHONE STREET JOB NAME CITY, STATE, AND ZIP CODE JOB LOCATION ARCHITECT Pages XXXXX 123 MAIN STREET CITY, STATE, ZIP CODE (800) ½ x 11 DATE DATE OF PLANS PROPOSAL 100 $ $ $ JOB PHONE WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: 3 Part White/Yellow/Pink We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Dollars ($ ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration from above specifications involving extra costs will be executed upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are full covered by Workmen s Compensation Insurance. Authorized Signature Note: This proposal may be withdrawan by us if not accepted wthin days. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance Signature TO ORDER CALL

SERVICE INVOICE 6576 SERVICE ORDER INVOICE 6575 123 MAIN STREET YOUR TOWN, STATE AND ZIP (123) 456-7890 DATE TIME

IN NAME OUT ADDRESS CITY, STATE, ZIP SERVICE INVOICE YOUR COMPANY NAME HERE INSPECTION TARGET PEST(S) ROUTE NO.

AMOUNT PAID CHECK # CUSTOMER SIGNATURE BALANCE DUE KEEP OFF UNTIL DRY 1001 5 ½ X 8 ½ - 3 Part Books Available. A Call!

250 $94 $149 $138 $214 $230 2,000 $374 2,000 $369 4,000 $634 4,000 $646 WORK ORDER 213 SERVICE REPORT BOOK 365 COMPANY

5 SERVICE INVOICE 6576 SERVICE ORDER INVOICE MAIN STREET YOUR TOWN, STATE AND ZIP (123) DATE TIME ACCOUNT NO. IN NAME OUT ADDRESS CITY, STATE, ZIP SERVICE INVOICE YOUR COMPANY NAME HERE INSPECTION TARGET PEST(S) ROUTE NO. ACCOUNT TYPE REGULAR RESIDENTIAL INDOOR 1-TIME COMMERCIAL OUTDOOR ANNUALLY 6 MONTHS 3 MONTHS MONTHLY BI-MONTHLY WEEKLY FREQUENCY PHONE APPLICATION METHOD APPLICATION RATE CHEMICALS USED BRAND NAME AND COMMON NAME OF ACTIVE INGREDIENT CONCENTRATION END USE % AMOUNT EPA NUMBER DESCRIPTION / REMARKS SUB-TOTAL TAX TOTAL CASH LICENSE NO. AMOUNT PAID CHECK # CUSTOMER SIGNATURE BALANCE DUE KEEP OFF UNTIL DRY ½ X 8 ½ - 3 Part Books Available. A Call!! Formats Give Us AMOUNT ACCOUNT BALANCE SERVICED BY More TREATMENT SITE TREATED Many 5 ½ X 8 ½ - 3 Parts PRICE PRICE 250 $94 $149 $138 $214 $230 2,000 $374 2,000 $369 4,000 $634 4,000 $646 WORK ORDER 213 SERVICE REPORT BOOK 365 COMPANY NAME 123 MAIN STREET TOWN, STATE AND ZIP (123) ½ x 5 ½ FREE 2 PART 3 ⅜ x 6 ¼ - 3 Part Books 3 PART $137 $178 $233 $299 $362 $465 SHIPPING 2-Parts: White / HARD COPY 3-Parts: White / Yellow / HARD COPY Numbered in Red Ink PRICE $97 $149 2,000 $248 4,000 $455 5

Reminder Post Cards Front #1 Front #2 Front #3 Back John s

Suite H-101 Baltimore, MD 21224 It has been 90 days since

1-800-519-3691 Customize the Back for FREE 6 x 4 14pt.

6 Reminder Post Cards Front #1 Front #2 Front #3 Back John s Pest Control 2400 Boston St. Suite H-101 Baltimore, MD It has been 90 days since your last service. Please give our office a call Customize the Back for FREE 6 x 4 14pt. Gloss Cover Free Set-Up & Logo PRICE $150 $200 2,000 $250 5,000 $350 D E T N PRI IN L FUL R! O L O C 6 Place Stamp Here

Sorry Doorhanger 3 X 6 White Card Stock Blue ink with your company info RED PRICE $63 1000 $87

TO 10 LINES OF YOUR SPECIAL WORDING HERE YOUR COMPANY NAME HERE 123 MAIN STREET YOUR TOWN, STATE

message printed in BLACK PRICE $83 1000 $116 2000 $179 4000 $337 3 1/2 X 8 1/2 Gloss Card Stock

7 Sorry Doorhanger 3 X 6 White Card Stock Blue ink with your company info RED PRICE $ $ $ $254 * Add your info and your logo Doorknob Hanger YOUR COMPANY NAME HERE PRINT UP TO 10 LINES OF YOUR SPECIAL WORDING HERE YOUR COMPANY NAME HERE 123 MAIN STREET YOUR TOWN, STATE AND ZIP (123) /3 x 7 White Card Stock Available in Blue, Red or Green Your Custom message printed in BLACK PRICE $ $ $ $ /2 X 8 1/2 Gloss Card Stock Custom Printed With Your Message 7 2,000 FRONT $95 $165 $225 PRINTED IN FULL COLOR! FRONT & BACK $120 $190 $255

Customers For 25 Years www.amerbusforms.

TICKETS STATEMENTS INVOICES ENVELOPES LABELS JOHN LEARY 1-800-519-3691 FAX

8 MAGNETS FREE COMPANY LOGO AND SET-UP 2.5 x House Magnet Actual Size JOHN S PEST CONTROL Serving Customers For 25 Years Quantity Price $245 $295 $375 $525 Per Piece METER TICKETS STATEMENTS INVOICES ENVELOPES LABELS JOHN LEARY FAX john@amerbusforms.com Actual Size 2 x 3 1/2 Business Card Magnets Quantity Price $115 $195 $245 $305 Per Piece

9 AMERICAN BUSINESS FORMS & ENVELOPES Actual Size 4. x 1.75 Van Magnet AMERICAN BUSINESS FORMS & ENVELOPES Actual Size x Pick-Up Truck Magnet John s Pest Control If it walks, crawls or flys, we ll handle it Actual Size x Mini-Van Magnet Quantity Price $195 $235 $315 $395 Per Piece

CITY, STATE 12345 SELF-SEAL ENVELOPES Window Self Seal Envelopes Any ink color #10 2, $190 5,000 $325 7, $430 10,000 $530 FREE SHIPPING From YOUR COMPANY NAME HERE ADDRESS CITY,

10 Envelopes YOUR COMPANY NAME P.O. BOX 1234 CITY, STATE , Window Envelopes Any ink color #10 or #9 $160 5,000 $240 7, $335 10,000 $410 FREE SHIPPING YOUR COMPANY NAME P.O. BOX 1234 CITY, STATE SELF-SEAL ENVELOPES Window Self Seal Envelopes Any ink color #10 2, $190 5,000 $325 7, $430 10,000 $530 FREE SHIPPING From YOUR COMPANY NAME HERE ADDRESS CITY, STATE and ZIP CODE PLACE STAMP HERE Return Envelopes 3 5/8 x 6 1/2 Any ink color #6 3/4 2, $145 5,000 $225 7, $315 10,000 $390 FREE SHIPPING From YOUR COMPANY NAME HERE ADDRESS CITY, STATE, ZIP CODE PLACE STAMP HERE Return Envelopes 3 7/8 x 8 7/8 #9 Any Ink color 2, $145 5,000 $225 7, $315 10,000 $390 FREE SHIPPING TO ORDER CALL

00 Pesticide Cards 5 x 5 Card Stock PESTICIDE APPLICATION Pesticide Applied On: By: 800-519-3691 This sign must remain for 24

11 Door Hanger Envelopes AVAILABLE IN 3 COLORS 2,000 PRICE $120 $205 BLUE WHITE KRAFT 5,000 $420 8,000 $590 10,000 $740 Door Bags DOOR BAGS PER - 4,000 $ ,000-9,000 $60.00 OVER 10,000 $55.00 Pesticide Cards 5 x 5 Card Stock PESTICIDE APPLICATION Pesticide Applied On: By: This sign must remain for 24 hours after pesticide application. 1.5 Mil Clear Polyethylene Bags 6 inch x 12 inch 1.75 Diameter Hole Packed in per case Available in: Blue Yellow White 2, 5,000 PRICE $175 $255 $425 11

Gray Blue Green Maroon Purple Yellow Tan Gray Blue Green

$275 4,000 $360 5,000 $420 6,000 $470 8,000 $525 10,000 $660

Regular Self-Seal $59 $70 $89 $110 2,000 $164 $195 4,000 $308

12 Gray Blue Green Maroon Purple Yellow Tan Gray Blue Green Maroon Purple Yellow Tan $99 $129 2,000 $209 2, $265 3,000 $275 4,000 $360 5,000 $420 6,000 $470 8,000 $525 10,000 $660 2-Parts (White / Yellow) 400 $ $109 1,600 $165 Quantity Regular Self-Seal $59 $70 $89 $110 2,000 $164 $195 4,000 $308 $366 Fax (800) sales@amerbusforms.com

SERVICE AGREEMENT FOR THE TREATMENT OF BED BUGS (Cimex lectularium Linnaeus)

SERVICE AGREEMENT FOR THE TREATMENT OF BED BUGS (Cimex lectularium Linnaeus) This Service Agreement provides for the retreatment of areas of the covered structure(s) infested by Bed Bugs for a period of