Date:		:
Your Name:		Phone:
Company:		FAX:
Address:		Alt Phone:
City:		Alt FAX:
Email:		Alt Email:

Address:		Title:	Regular System (M&B) File Plan Land Court
City:		TMK:

		Closing:
Escrow :		Phone:
Officer:		FAX:
Escrow No:		Other:
Buyer:		Seller:

Our Quote:   (Call us now at 874-8066 for our Fee & Schedule)

Fee:	$  (w/Tax)	Field work:
Payment:	Paid by Escrow Net 30 Days Payment in Advance Payment at Job Site Other (Call 874-8066)	Report Due:

(To accept our quote, please print out this form, sign it and FAX it to us at 874-8366 -- thanks!)

The undersigned hereby authorizes Valley Isle Surveyors, Inc. to proceed with the work requested above.

_______________________________________________

Accepted by:                                                   Date