Type d'insectes
*
Guêpes
Abeilles
Bourdons
Frelons
Frelons Asiatiques
Nombres de Nids
*
1
2
3
4
5 et plus
Localisation du Nid
*
En Terre
Toiture
Cheminée
Fenêtre/Volet
Mur
Haie
Action déjà réalisée par vos soins pour la destruction
*
Aucune
Bombe insecticide
Bouchage du point d'entrée
Brulage
Nom
*
Nom de famille
Prénom
Agence/Syndic
Nom de l'agence
Adresse
*
Adresse
Adresse de la rue (2ème ligne)
Ville
État/Région
Code Postal
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