Machinery & Equipment Request Form

First Name:
Last Name:
Street Address:

City:
State:
Zip Code:
Email:
Telephone Number:
Fax Number:
Purpose of Appraisal
Machinery & Equipment Detail

Additional Comments or Special Instructions

You may fill-in the fields above and submit the form online or print the form and fax/mail to:

Polk Associates, LLC
PO Box 720
Ojai, CA 93024
Ph: 805.585.4067
Fax: 805.646.7294