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[alac-forum] Weather Request Form



Do Weather-Related Cases or Claims frustrate you?  Our meteorologists produce 
customized, plain-English reports of "What the Weather WAS"(tm) at your Precise 
Point of Loss!  Our proprietary in-house database guarantees quick turnaround. 
Since 1975, Compu-Weather has greatly benefited professionals nationwide. For a 
free, no-obligation consultation, print and fax the form below to 
1-800-825-4441.  Please DO NOT reply to this email as it will delay the 
processing of your request. 

If you have web access, you may fill-out the form ON-LINE at: 
http://www.compuweather.com/cgi-bin/wirf.cgi?ve0404

                  COMPU-WEATHER INFORMATION REQUEST FORM
   CALL with your request: (800)825-4445 FAX your request: (800) 825-4441

Today's date: ____________________ Account # (if known): ______________

Your Name: ___________________________________________________________

Company: ______________________________________________________________

Address: ______________________________________________________________

City: ________________________________State: ____________Zip: _________

Your Phone: _________________________Main Phone: ______________________

Fax: __________________________________________________________________

Your Email: ___________________________@_______________________________

Case Name: ____________________________________________________________

File #: _______________________________________________________________

Loss Date: _______________________  Time: _______________  AM___  PM___

Location of incident/loss (address, intersection, county, nearest town):


Type of incident/loss (description of occurrence):



What information do you need?



Due Date: _________________  Company's Website?: ______________________

For: Plaintiff->(    )  Defendant->(    )  Insured->(    )  Self->(   )

source: ve0404

Thank you for your inquiry. We will contact you shortly with information, 
options and costs.


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