Strayer Surveying & Mapping, Inc.
763 Shamrock Blvd. Venice, FL 34293 Phone: 941 497-1290 Fax: 941 497-6186	335 Tamiami Trail Port Charlotte, FL34293 Phone: 941 624-4900 Fax: 941 624-3471
ORDERED BY:_____________________________________	DATE:_________________________________________
COMPANY:_____________________________________	PHONE:_________________________________________
FIELD READY DATE:_____________________________________	FAX:_________________________________________
WORK WILL BE SCHEDULED AS SOON AS POSSIBLE WITHIN A 48 HOUR WINDOW OF FIELD READY DATE
PROJECT NAME:_____________________________________	JOB#:________________________________________
PROJECT ADDRESS:__________________________________________________________________________________________
Type of work requested--Please give a detailed description of exactly what you need.















Person (Company) ordering is responsible for payment.