Valucent Corp.

Welcome to our New Client Sign-up page. This page allows you to provide us with basic information about you and your company which we will need to set you up in our system. Once you are registered in our system you will have the ability to order appraisals, check statuses, download your appraisal reports, and more, on-line 24 hours a day, 7 days a week, 365 days a year. If you have any questions, or would like more information, please feel free to Contact Us.

*Note: If you are an appraiser seeking to become an approved vendor for Valucent Corp., please do not complete this form, please for click on Appraiser Opportunity.

	Are you an exsisting client or have you ordered an appraisal before with Valucent Corp.?*
	Yes No
	If you selected "yes" to the above, please go to the "Client Login" tab on this website.
	Company Name:*

	Client Contact Name:*

	Client Phone Number:*

	Client Alternate Phone Number(s):

	Client Fax Number:

	Client Contact E-mail Address:*

	Client Address (Include unit or suite number if applicable):*

	Client City:*

	Client State:*

	Client Zip Code:*

	Billing and Appraisal Delivery E-mail Address (If different from client contact e-mail address):

	Client Instructions, Notes or Additional Information:

	Would you like to be contacted by a Valucent Corp. representative?
	Yes No

*Required Fields

Thank you for trusting Valucent Corp. with your business!