<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> <% dim pageState, pageRef pageState = "Appraisal Order Form" pageRef = "order.asp" %> Collins Appraisal Service:<%=pageState%>
Appraisal Order Form
<%if request.querystring("msg") = "ok" then%>

Your Order was sent successfully.
We thank you, we will respond when your information has been processed.
Click here to send another request.
<%elseif request.querystring("msg") = "error" then%>


There were problems sending your order.
Please click here to try again.

<%else%>
To check the status of your appraisal please fill out the form below and a Collins Appraisal Service representative will contact you.
Client Information
First Name: Last Name:
Company: Title:
Address:
Address (con't):
City: State: Zip Code:
Phone: Fax:
Email:
Subject Property Information
Borrower's First Name: Last Name:
Address:
Address (cont):
City: State: Zip Code:
Select Value Type: Dollar Amount:
"Yes!" I do have a sales contract.
"Yes!" my loan is an FHA Loan.
Payment Method
Select Payment Method:
Property Access Contact Information
Contact Name:

Type:

Phone Number:

  Phone Number:
Select Property Type, Type of Appraisal, and the Purpose for the Appraisal below.
Property Type Appraisal Type Purpose
Additional Comments/Instructions:
The "Bold" items are required fields.
<%end if%>