Order Form

Order Mill City Services

Property Information

Address*

City*

State*

Zip Code*

Square Feet

MLS Number

Bedrooms

Bathrooms

Lot Size

Choose Appointment Day

The photographer will reach out to confirm time

Account Information

Email*

Name*

Phone*

Company*

Referral Code

Additional Details

Needed for smooth and seamless experience

Is there a lockbox or Supra? * required

Code for lockbox:

Is the property vacant? * required

Yes No

Will the agent be on site? * required

Yes No

Day of shoot contact number: * required

Are there specific features that need to be highlighted?

Yes No

Can we use your listing for marketing purposes? (Adhering to MLS compliance requirements we will only share visuals of the property)

Yes No

How did you hear about us?

Please provide any additional notes:

-Lockbox/Supra location
- Specific areas to highlight

* Required

Payment Information

Travel Fee

Sub-Total

Sales Tax

Travel Fee

Order Total

Allowance

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Due Today

All amounts are in USD

Promo Code

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

Mill City Pixels

6513347428

kevin@millcitypixels.com

Property Information

Select Products & Services

Choose Appointment Day

Account Information

Additional Details

Please provide any additional notes:

Payment Information