Agent Name
Agent Phone
Agent LAG#
Agent Office ID
Property Address
Property City
Property Zip Code
Property Contact Name
Property Contact Phone
Front of Home Faces?	Do not know North South East West
Requested Photography Date
Photo Service Requested	No Still Images Up to 15 Stills - $40.00 Up to 30 Stills $50.00 Up to 50 Stills $60.00
Number of 360 Degree Images	None One - $15 Two - $25 Three - $35 Four - $43 Five - $50 Six - $60 Seven - $65 Eight - $70
Panoramic Images	None One - $15 Two - $25 Three - $35 Four - $43 Five - $50 Six - $60 Seven - $65 Eight - $70
Images Delivery Options	Via Internet File Folder Images on CD - $5 Each
Flyer Creation	None Your Design $30 Our Design - $15
Color Flyer Printing	No Flyer Printing 50 Color 1 Sided - $25.00 100 Color 1 Sided - $45.00 200 Color 1 Side - $80
Special Instructions
	Please read disclaimer below prior to placing your order
Note: 1. To eliminate the possibility of unauthorized use of this form, we will not process any order until we have confirmed it with the agent entered above.  2. By submitting the order request, you agree to pay the fees associated with each service within 10 days of receipt of service.  3.  We agree to provide you with professional service and we guarantee your satisfaction or there is no charge for the unsatisfactory service.