Appraisal Request/Order

Appraisal Order/request form:

[|DATE|] at [|TIME|]

IP Address: [|IP|]

Name:	[\|ne_firstname\|] [\|ne_lastname\|]
Company:	[\|ne_company\|]
Email:	[\|re_Email\|]
Address:	[\|ne_address\|]
City:	[\|ne_city\|]
State:	[\|ne_state\|]
Zipcode:	[\|nn_zipcode\|]
Phone:	[\|nn_phoneno\|]
Fax:	[\|nn_fax\|]

Subject/Property Information
Name:	[\|ne_subjectfirstname\|] [\|ne_subjectlastname\|]
Address:	[\|ne_subjectaddress\|]
City:	[\|ne_subjectcity\|]
State:	[\|ne_subjectstate\|]
ZipCode:	[\|nn_subjectzipcode\|]
Salesprice:	[\|salesprice\|]
Property Type:	[\|propertytype\|]
Appraisal Type:	[\|rn_appraisaltype\|]
Appraisal Purpose:	[\|ne_appraisalpurpose\|]

Contact for Access
Name:	[\|ne_contactfirstname\|] [\|ne_contactlastname\|]
Home phone:	[\|accesshome\|]
Work phone:	[\|accesswork\|]
Cell phone:	[\|accesscell\|]
Payment Method	[\|payment\|]

Comments: [|comments|]