STR Order Form

ELEVATE YOUR MEDIA!

Basic Information

Select a STR Square Footage Range

0 - 3,000 SqFt

3,001 - 5,000 SqFt

5,001 - 7,000 SqFt

7,000+ SqFt

Property Information

Address*

City*

State*

Zip Code*

Square Feet*

MLS Number

Bedrooms*

Bathrooms*

Lot Size

Appointment Time

Please select an appointment date and time.

Account Information

Email*

Name*

Phone*

Company*

Referral Code

Project Details

Estimated Listing Price? * required

Is the Property Vacant? * required

Yes No

How will we access the property?

If Vacant, what is the door access code?

If you have GPS coordinates please put them below

How many acres is the property? * required

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

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

Elevated Media Co

(217) 418-6993

mike@elevatedmediaco.com