Service Required

Service Type

Blower Door Only

Duct Leakage Only

Blower Door & Duct Leakage

Business Contact Information

Entity Name (LLC)

Name

Mobile

Email

Business Address

Best Way To Reach You

Preferred Contact Method

Phone

Text

Email

I Am A...

Single choice

Builder

Homeowner

GC

Other

Project Information

Project Street Address

Unit Number

City

State

NJ

PA

DE

Zip Code

Block

Lot

Permit Office

Municipality or permit office where permits were filed, if known

Project Details

Home Type

Single Family

Townhouse/Rowhome

Duplex/Twin

Multi Family (3+)

Year Built

HVAC Units

CFA (SQFT)

Conditioned Floor Area, square feet heated/cooled. Exclude garage, attic, basement from total sqft if they are not conditioned.

Hazard/Safety Questions

Hazard Asbestos

Yes

No

Has the home ever been tested for or confirmed to contain asbestos-containing materials?

Hazard: Vermiculite

Yes

No

Does any insulation appear to be a loose, gray/silver, or any "pebble-like" or accordion-shaped vermiculite insulation present in the attic or walls?

Scheduling & Access Instructions

Requested Service Date

Access Instructions

Lockbox/Gate Codes or Parking Notes

Uploads

Permit / Plans Upload

Pricing & Payment Authorization

I acknowledge the base fee of $350 for Blower Door (Enclosure) Testing and $350 for the initial HVAC Duct Leakage Test. Additional HVAC systems are billed at $300 per unit. To maintain our project schedule, a $99 Late Cancellation Fee applies within 24 hours of service, and a $199 Site Mobilization Fee will be assessed if the property is not ready for testing upon arrival.

I authorize Keystone Enclosure Testing to securely collect and store my payment method through Stripe. I understand Keystone Enclosure Testing may charge the saved payment method after completion for the final project balance and for applicable approved fees, including retest, cancellation, or site-not-ready fees. Documents and certificates will be released after payment is successfully processed.

Signature / Authorization

By checking the box below, I represent that I am authorized to order these services. I agree to Keystone Enclosure Testing’s terms and the fee schedule outlined above, and I authorize Keystone Enclosure Testing to proceed with site scheduling and access.

Authorization Confirmed