We have included the Order Form in two versions — electronic and pdf.

You can fill out the form on this page and submit it and receive a copy for your files.

Or, you can fill out a pdf version and fax or e-mail it to us. (Click here to download Adobe Acrobat Reader.)

FAX: (406) 728-0209
E-mail: receptionist@western-title.com

Order Form

Order Form

Order Type:
Property address:
Legal description:
Type of dwelling:
Purchase amount:
EMD amount:

Loan Amount: $
2nd Loan Amount: $
ALTA with endorsements 100, 116, 8, 1:
Existing Mortgages:
Loan: #

WT&E closing:
Yes No
Closing date:
Ordered by:
* required
Email address:
* required
Copies to:
Bill to:




Western Title & Escrow • 1200 Reserve St, Suite M • Missoula, Montana 59801
Phone: (406) 728-0990 • FAX: (406) 728-0209 • Email: receptionist@western-title.com