ORDER FORM

Address*

City*

State*

Zip Code*

Square Feet*

MLS Number

Bedrooms

Bathrooms

Lot Size

Property type

Residential

Commercial

Please select three times that will work for your schedule. We will do our best to accommodate your request.

I need something further out

Email*

Name*

Phone*

Company

Property notes (i.e. lock box code, gate code, vacant, occupied, other areas of interest, etc.)

* Required

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

Terms

Subject conditionally to receipt of full payment of the Total indicated. A license is hereby granted for PUBLIC RELATIONS and MARKETING use by the client listed above for as long as the listing is active. Notification of submission to trade publication is required. Use license not transferable. Failure to make payment voids any license granted and constitutes copyright infringement. All rights not specifically granted in writing, including copyright, remain the exclusive property of the photographer.

I agree * required

Doug Via Photo

240-409-9398

info@dougviaphoto.com

Property Information

Please Select

Select Products & Services

Preferred Appointment Time

Account Information

Additional Information

Payment Information