ORDER FORM

Address*

City*

Province*

Postal Code*

Square Feet

MLS Number

Bedrooms

Bathrooms

Lot Size

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*

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

Travel Fee

Sub-Total

Sales Tax

Travel Fee

Order Total

Allowance

Payment Required

Due Today

All amounts are in CAD

Billing Information

Address*

City*

Province*

Postal 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

PLEASE NOTE: Any Incremental Charges related to Extra Square Feet, based on the Total Billable Area per property (versus what was provided on original order request), will be processed up to 45 days after the appointment.

Any Cancellation or Rescheduling requests received after 5pm on the business day prior to the appointment, will incur a $100 Same-day Cancellation/Rescheduling Fee.

Any changes to the Date of an appointment, after the order has been placed, will result in a $25 Admin Fee.

I Agree * required

NorthernMedia360

705.707.9690

orders@northernmedia360.com

Select Products & Services

Property Information

Preferred Appointment Time

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Additional Information

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