R.W.GROSS & ASSOCIATES, Inc.

Request a Quote for Your Survey

Surveying Services Quote Request Form

Please complete the information below as accurately as possible and then click the SUBMIT button at the bottom.  We'll review your request and contact you soon.

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Company Information
Company Name::
Other Company Name:
Ordered By
Name: *
Phone:: *
Email:  
Please check here if your request is a status update of an existing order.
Service Desired
Boundary Survey -- Rule 12 Survey
  
 Land Title Survey -- ALTA/ACSM Survey  
 Topographic Site Survey  
 Floodplain Determination and Certification
  
Survey Information
Subdivision:
Other Subdivision...
Section:
Phase:
Part:
Lot Number:
Brief Legal:

***If available, please fax copy of legal description to 765-742-7223
***
Street Address:
City/Town:
When Ready (fill in one of the following):
 Call (phone number):  
 Fax (fax number):  
 Deliver (downtown Lafayette address):  
   
Mail (address):
Special Instructions or Requirements
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