Online Order Form

Submit your order by filling out this form and clicking the Submit Form button at the bottom of the page. Asterisked (*) fields are required.

CONTACT INFORMATION
Your Name		*
Company Name
Address		*
City, State, Zip		, * *
E-Mail Address		*
Phone Number		*
Fax

SUBJECT PROPERTY INFORMATION
Loan Agent
Subject's Address		*
Subject's City, State, Zip		,
Borrower's Name		*
Loan Number
Property Type		*
Purpose of Appraisal		*
Sale Price or Estimated Value
Report Type		*
Contact Name for Inspection		*
Contact Phone Number for Inspection (if applicable)		home office mobile fax

REPORT OPTIONS
Targeted Lender		*
Do you wish to have the report delivered electronically as a PDF?		Yes No *
Email Report To		*
Additional Comments
Please double-check your entries!

Harry W. Hammel, III
President

Bay Acquisitions, Inc.
1008-C West Main Street
Salisbury, MD 21801

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