Houston Appraisal Service - Insurance New Client Form

Houston Appraisal Service
A Texas HAS, Inc. Company

Telephone: 713-882-0950 ~ Fax: 281-897-0950
PO Box 690448, Houston, TX 77269

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NEW CLIENT FORM

CLIENT COMPANY INFORMATION
Contact Name:
Company Name:
Phone Number:
Fax Number:
Email Address:

Adjuster / Examiner:
Insurance Company: (If different than Client)

Other Information:

Thank you for the opportunity to serve your auto appraisal needs!

You will receive an email with our current fee structure, and a phone call to finish setting up your account with us within 24 hours. Please email or give us a call at 713-882-0950 with any questions before then, or if you do not hear from us within 2 business days.

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