O & E Order Form

-- O & E Order Form --

Property Owner Information --

Client Information--

First Name:

*Your Name:

Middle Initial:

*Your Company:

Last Name:

Company Address:

City:

State:

Zip:

Property Information --

*Phone:

*Fax:

Street Name:

*Email Address:

Street Number:

* Dir

Unit Number:

Order Information --**

City:

O&E:

(Please allow 24 hours for delivery)

State:

* Zip:*

Plat:

(Please allow 24 hours for delivery)

Schedule Number:

Covenants:

(Covenants over 10 pages will be delivered)

County:

Property Profile Book:

(Please allow 48 hours for delivery)

Note: When ordering a profile book you need only select the 'Profile Book' option. You will receive an O&E, Plat Covenants and 150 Labels..

Legal Description --

Labels:

(Please allow 48 hours for delivery)

Label Quantity:

(Call for pricing)

Notes or Area:
(i.e. South of street 1, East of street 2, North of street 3 and West of street 4)

Empire Title of Colorado Springs, LLC.
5755 Mark Dabling Blvd. Suite 110
Colorado Springs, CO 80919
Phone: 719-884-5300
Fax: 719-884-5304

Need by:

(i.e. 1/1/04 by 1:00pm)

Delivery Method:

***

* Indicates that the field is required.
**You must select at least one item to order.
Incomplete requests will be discarded.
*** Certain Items cannot be faxed or emailed due to size.