EML
REGULATORY
COMPLIANCE AUDIT REQUEST FORM
Name
of Potential Client:
______________________________________
Address:
_______________________________________
_______________________________________
Client
Contact:
_______________________________________
Telephone
Number:
(
)__________________________________
Fax
Number:
(
)__________________________________
E-mail
Address:
_______________________________________
Property Name:
_______________________________________
__ Commercial
__ Industrial
Address of Property: _______________________________________
________________________________________
Comments:
_________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(for
EML use only)
Fee
Proposed:
_______________________________________
Proposal
Accepted:
__
Yes
__
No
If
No, Reason For Rejection:
_______________________________________
Report
Sent:
Date: _________ How
Mailed: _________
Invoice
Sent:
Date: _________ Fee:
_________