Membership Information

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Please check one of the following, sign your name and either fax or mail back to:Green Country of Oklahoma Chapter of the Appraisal Institute
P.O. Box 700902
Tulsa, Oklahoma 74170-0902

YES___ I do want to have my name included in the Chapter website.

NO____ I do not want to have my name included in the Chapter website.

Signature:______________________________________________________

NAME: _______________________________________________________

BUSINESS NAME: ______________________________________________

BUSINESS ADDRESS: __________________________________________

CITY: _______________________ STATE: _______ ZIP: ___________

OFFICE PHONE: _______________________________________________

CELL PHONE OR PAGER: _______________________________________

FAX NUMBER: _______________________ Dedicated Y / N (Circle one)

E-MAIL ADDRESS: _____________________________________________

(please print and include upper/lower case letters if they are used)

WEBSITE ADDRESS: _________________________________________

(please include the URL of your company website if you have developed one.)

Type of work desired:

Residential (please check all that apply):

___Individual ___Mortgage ___Condemnation ___Litigation ___Relocation

___Special Purpose ___Tax Appeal ___FHA ___VA ___Other (please describe)

General/Commercial (please check all that apply):

___Multifamily ___Industrial ___Office ___Retail ___Farm & Ranch

___Special Purpose ___Condemnation ___litigation ___Tax Appeal ___Market Studies

____Land, Urban or Suburban ___Subdivision ___Consultation ____Other (please describe)

Counties served (indicate which part -- e.g. western Wagoner, southeast Osage, etc.): 

___ Adair	___ Haskell	___ Muskogee	___ Pittsburg
___ Atoka	___ Hughes	___ Nowata	___ Pushmataha
___ Cherokee	___ Kay	___ Okfuskee	___ Rogers
___ Coal	___ Latimer	___ Okmulgee	___ Sequoyah
___ Craig	___ LeFlore	___ Osage	___ Tulsa
___ Creek	___ Mayes	___ Ottawa	___ Wagoner
___ Delaware	___ McIntosh	___ Pawnee	___ Washington

Remember, inclusion of your information on the website is dependent upon remaining in good standing with your membership dues paid up. Please notify us if your information changes so we can update the membership directory. Thanks!

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