AERIAL INSPECTIONBOOKING FORM Name * First Name Last Name Company Name Email Address * Contact Number (###) ### #### SITE DETAILS Site Name / Reference * Address / Location * Address 1 Address 2 City State/Province Zip/Postal Code Country What3Words https://what3words.com/ On-Site Contact Name Leave blank if same as above First Name Last Name Site Access Instructions * REQUIREMENTS Inspection Required * BOOKING PREFERENCES Site Induction Required * Yes No Due Date * Please note that due dates that fall within one week will likely incur rush fees. MM DD YYYY Operating Dates and Hours * Please provide at least three operating dates and hours in order of preference, to ensure adequate windows for no-fly weather, access issues, set up requirements etc. Permission or Permits * Any amendments to dates specified will be agreed prior to works via email. I confirm that all permissions and permits required for this inspection will be in place for all dates specified in this form. ADDITIONAL NOTES Is there anything else we need to be aware of before the visit? Kiterra is a CAA-Certified, fully insured aerial inspection provider with structural awareness and a safety-first approach. Thank you for completing the booking form. We look forward to speaking with you soon.