Client Information

Name Company Address (street, city, state, zip)

Phone (include area code) Fax E-mail

Location of Property

Street Address City   St.   Zip

Site Contact Name Phone (include area code)

Property Information

Type Office Garden Apt. Multi-family Hi-rise Multi-family Enclosed mall Strip mall Stand-alone retail Hotel/Motel Conference Center Warehouse Storage Facility Hospital Nursing Home Funeral Home Manufacturing Facility Other		If other, describe:
Total Building Area (sf) Size of Site (acres) Number of Stories		Number of Units/Buildings Age Parking Surface Garage
Service Required (check all that apply) Property Condition Assessment Environmental Site Assessment Environmental Transaction Screen Plan & Cost Review Construction Loan Monitoring Other If other, please describe:		Date Due Special Instructions: How would you like our proposal to be transmitted? Fax E-mail Regular Mail
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