Digital Brochure Request Form

	Digital Brochure Request Form

Contact Us

Client Information
	Property type:	*	Property Name:	*
	Contact First Name:	*	Contact Last Name:	*
	Contact Title:		Contact E-mail:	*
	Property Address:	*


	Property City:	*
	Property Region:	*	Property Country:	*
	Property State:		Property Zip:
	Property Phone:	*	Property Alt. Phone:
	Property Fax:
	Contact Phone:	*	Contact Cell Phone:

Services / Costs Click To View Examples

Select	Service	Rate
	Virtual Tour - Production - 10 X 360° panoramic image (USD $2750)
	Virtual Tour - Client Provides Content (USD $1750)

Select	Service	Rate
	Web Show - 8-10 photos in 1 min. flash montage with music (USD $950)
	Web Show - Optional scripting & voice over (USD $1000)

Select	Service	Rate
	Video - Production - 1-2 minute video (USD $7500)
	Video - Client Provides Content to be encoded & compressed (USD $2500)

Total - Year One

USD $

Rates include hosting, content management, distribution and reports

Annual Renewal Subscription(Starts Year 2)		Rate
Annual Renewal Subscription (Fees for hosting and distribution from year 2 onwards)		USD $

Fees include all content hosting, management, maintenance, distribution and reports

Client Information
	Property type:	*	Property Name:	*
	Contact First Name:	*	Contact Last Name:	*
	Contact Title:		Contact E-mail:	*
	Property Address:	*


	Property City:	*
	Property Region:	*	Property Country:	*
	Property State:		Property Zip:
	Property Phone:	*	Property Alt. Phone:
	Property Fax:
	Contact Phone:	*	Contact Cell Phone:

Services / Costs Click To View Examples

Select	Service	Rate
	Virtual Tour - Production - 10 X 360° panoramic image (USD $2750)
	Virtual Tour - Client Provides Content (USD $1750)

Select	Service	Rate
	Web Show - 8-10 photos in 1 min. flash montage with music (USD $950)
	Web Show - Optional scripting & voice over (USD $1000)

Select	Service	Rate
	Video - Production - 1-2 minute video (USD $7500)
	Video - Client Provides Content to be encoded & compressed (USD $2500)

Total - Year One

USD $

Rates include hosting, content management, distribution and reports

Annual Renewal Subscription(Starts Year 2)		Rate
Annual Renewal Subscription (Fees for hosting and distribution from year 2 onwards)		USD $

Fees include all content hosting, management, maintenance, distribution and reports

Client Information
	Property type:	*	Property Name:	*
	Contact First Name:	*	Contact Last Name:	*
	Contact Title:		Contact E-mail:	*
	Property Address:	*


	Property City:	*
	Property Region:	*	Property Country:	*
	Property State:		Property Zip:
	Property Phone:	*	Property Alt. Phone:
	Property Fax:
	Contact Phone:	*	Contact Cell Phone:

Services / Costs Click To View Examples

Select	Service	Rate
	Virtual Tour - Production - 10 X 360° panoramic image (USD $2750)
	Virtual Tour - Client Provides Content (USD $1750)

Select	Service	Rate
	Web Show - 8-10 photos in 1 min. flash montage with music (USD $950)
	Web Show - Optional scripting & voice over (USD $1000)

Select	Service	Rate
	Video - Production - 1-2 minute video (USD $7500)
	Video - Client Provides Content to be encoded & compressed (USD $2500)

Total - Year One

USD $

Rates include hosting, content management, distribution and reports

Annual Renewal Subscription(Starts Year 2)		Rate
Annual Renewal Subscription (Fees for hosting and distribution from year 2 onwards)		USD $

Fees include all content hosting, management, maintenance, distribution and reports

Client Information
	Property type:	*	Property Name:	*
	Contact First Name:	*	Contact Last Name:	*
	Contact Title:		Contact E-mail:	*
	Property Address:	*


	Property City:	*
	Property Region:	*	Property Country:	*
	Property State:		Property Zip:
	Property Phone:	*	Property Alt. Phone:
	Property Fax:
	Contact Phone:	*	Contact Cell Phone:

Services / Costs Click To View Examples

Select	Service	Rate
	Virtual Tour - Production - 10 X 360° panoramic image (USD $2750)
	Virtual Tour - Client Provides Content (USD $1750)

Select	Service	Rate
	Web Show - 8-10 photos in 1 min. flash montage with music (USD $950)
	Web Show - Optional scripting & voice over (USD $1000)

Select	Service	Rate
	Video - Production - 1-2 minute video (USD $7500)
	Video - Client Provides Content to be encoded & compressed (USD $2500)

Total - Year One

USD $

Rates include hosting, content management, distribution and reports

Annual Renewal Subscription(Starts Year 2)		Rate
Annual Renewal Subscription (Fees for hosting and distribution from year 2 onwards)		USD $

Fees include all content hosting, management, maintenance, distribution and reports

Client Information
	Property type:	*	Property Name:	*
	Contact First Name:	*	Contact Last Name:	*
	Contact Title:		Contact E-mail:	*
	Property Address:	*


	Property City:	*
	Property Region:	*	Property Country:	*
	Property State:		Property Zip:
	Property Phone:	*	Property Alt. Phone:
	Property Fax:
	Contact Phone:	*	Contact Cell Phone:

Services / Costs Click To View Examples

Select	Service	Rate
	Virtual Tour - Production - 10 X 360° panoramic image (USD $2750)
	Virtual Tour - Client Provides Content (USD $1750)

Select	Service	Rate
	Web Show - 8-10 photos in 1 min. flash montage with music (USD $950)
	Web Show - Optional scripting & voice over (USD $1000)

Select	Service	Rate
	Video - Production - 1-2 minute video (USD $7500)
	Video - Client Provides Content to be encoded & compressed (USD $2500)

Total - Year One

USD $

Rates include hosting, content management, distribution and reports

Annual Renewal Subscription(Starts Year 2)		Rate
Annual Renewal Subscription (Fees for hosting and distribution from year 2 onwards)		USD $

Fees include all content hosting, management, maintenance, distribution and reports

Financial
	PURCHASE ORDER No:
	Company:
	Send Invoice To:
	Billing First Name:	*	Billing Last Name:	*
	Billing Title:		Billing E-mail:	*
	Billing Address:


	Billing City:
	Billing Phone:	*	Billing Alt. Phone:
	Billing Fax:		Billing Cell Phone:

Signature

1. Review the information DBRF (Digital Brochure Request Form).

2. After reviewing, electronically sign your request.

3. If everything is correct, click the "I Agree" button.

Electronic Signature

By checking the box and entering my name below, I am indicating my intent to electronically sign this Enrollment Form and warrant that all of the information I have provided is true, complete, and accurate.

Please type your name in the spaces below to electronically sign your Enrollment Form:

First Name:*	MI	Last Name:*
Please re-type your name in the spaces below to confirm your electronic signature:
First Name:*	MI	Last Name:*

On Loading

Clicking the "I Agree" button indicates that I have reviewed the terms and conditions, and all my enrollment information is accurate, and I am authorized to make this Request. I understand that this has the same effect as signing a paper by hand.


Note: All marked fields are required (*)				Contact Us