Online Ordering Authentication Form

Statewide Appraisal, Inc.
4526 Deer Lane
Whitelaw, WI 54247
Phone: 920-732-3018
Fax: 920-732-3073
Email: suesaa@gmail.com


 

Please Sign and fax/mail to Statewide Appraisal, Inc.

Company Name:__________________________________________________________

Authorization by: (Print) ________________________________________________

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(Date) ________________________________________________