Order Form

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Square Footage Range

(Total Square Footage)

Under 2,000 sq ft

2,001 - 4,000 sq ft

4,001 - 6,000 sq ft

Property Address

Address*

City*

State*

Zip Code*

MLS Number

Appointment Time

Please select an appointment date and time.

Account Information

Email*

Name*

Phone*

Company*

Referral Code

Project Details

Will anyone be onsite during the shoot? (We prefer homes to be unoccupied during the appt) * required

Yes No

Is the appointment flexible for any reasonable time of the day? * required

Who should we contact if the photographer is delayed?

Access code (SUPRA access, key box, door lock, etc)

Any special notes or instructions?

Additional Information

Please enter anything else we may need to know (i.e. gate code, special feature of the home to make sure we get, etc.)

Payment Information

Travel Fee

Sub-Total

Sales Tax

Travel Fee

Order Total

Allowance

Payment Required

Due Today

All amounts are in USD

Billing Information

Address

City

State

Zip Code

Credit Cards on File

New Credit/Debit Card

Keep this card on file for future use

Send me an Invoice

No Payment Due

Sixteen Degree Media

(217) 898-2539

admin@sixteendegree.com