Duncan & Brown, Inc. Request Quote/Fee

Please take your time to fill out this form completely. Fields marked with * are required.

*First Name:

*Last Name:

Company Name:

*Street Address:

*City:

*State:

*Zip Code:

*Phone:

Format: (541) 555-1212

Fax:

Format: (541) 555-1212

*E-mail:

Please indicate preferred method of contact:

E-mail

Phone

What is the best time to contact you during business hours?

Morning

Afternoon

*Property Address:

*City:

*State:

*Zip Code:

Property Map/ Tax Lot:

Form Required:

Requested Completion Date:

Format: 2/23/2003

Additional Comments: