Order Form

Select Products & Services

Property Information

Address*
City*
Province*
Postal Code*
Square Feet
MLS Number
Bedrooms
Bathrooms

Appointment Time

Please select an appointment date and time.

Account Information

Email*
Name*
Phone*
Company
Referral Code

Project Details

What is the property type?
Is the home vacant?
 
What is the condition of the property?
How will the property be accessed
Lockbox Code and location
Do you have any special requests?
How did you hear about us?

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
Promo Code
Billing Information
Address
City
Province
Postal Code
Email Address
Account Password
Dotakes Media
7055005035
dotun@dotakesmedia.ca