Company Name:
Contact Person:
Address*:
City:
State:
Zip:
Phone*: (including area code)
Fax: (including area code)
E-Mail*:
Street Address: (if applicable)
Type of Property: select Undeveloped Agricultural Single-Family Residential Multi-Family Residential Commercial Light Industrial Heavy Industrial
Property Size (acres):
Number of Structures/Construction Phases:
Current property use:
Past property use:
Services Requested: Phase I Environmental Site Assessment Property Condition Assessment Asbestos-Containing Material Survey Mold Assessment Indoor Air Quality Assessment Other -
Reason for requesting services: select Purchase Refinance Lease Sale Other
Requested deadline date:
Additional Comments/Information
This Proposal Request Form is provided as a convience for our clients and to expidite delivery of our proposal to our clients. NPC will review the information entered and begin preparing a proposal/quote. If additional information is necessary to finalize our proposal/quote, NPC will contact the person entered above -- please enter additional contact information in the Additional Comments/Information field above if necessary. Our proposal will be delivered via email to the address above upon completion.
Please do not hesitate to call, email, or fax NPC if you would prefer to do so or if this Proposal Request Form is not suitable for your request.
