Ad ID# ______________________
ArkLaMissHomes.com
Real Estate Ad Listing Form
Please print this form, fill-out and return.  Call us if you need this form mailed or faxed to you.

Your Name (Please Print) _______________________________________________________
Your Phone #  (Day) _______________________ (Night) ______________________________
Your E-Mail Address __________________________________________________________
Your Address________________________________________________________________
Your relationship to property    Owner ____  Manager/Agent ____ Other _________________

Property Category
(Circle One)

         Homes For Sale                            Homes For Rent/Lease

Apartments/Multi-Family For Rent/Lease          Apartments/Multi-Family For Sale

Lots, Farms & Acreage                    Commercial/Industrial

                                             Listing Information (click here for some listing suggestions)
(L1)  Property Street Address_____________________________________________________
        City _______________________________ State ______ Zip _______________________
       Parish/County ______________________________ Asking Price ____________________
(L2) ________________________________________________________________________
(L3) ________________________________________________________________________
(L4) ________________________________________________________________________
(L5) ________________________________________________________________________
For "D" Listing only (2 lines) L2 should be #Bedrooms, #Baths, Total Sq. Ft & contact phone #
Lines 2, 3 & 4 (L2 & L3 for "C")to consist of your ad copy (up to 66 spaces per line - reg. lettering).  Line 5 (L4 for "C") to consist of Contact Person's name/phone # and (optional) email address,  "MAP" link and "Additional Photos & Details" link (NO "Links" in ad "C").
Photograph of property to be displayed on the main listing page?  Yes ____  No ____

"Additional Photos & Details" Page and Photo Information

"Addl Photos. . ." page includes from 2 - 10 photos and up to 8 lines of copy with 100 spaces per line.
Number of photos for "Additional Photos & Details" page?  _______________
 
Use "main" photo on main listing page only _____ or on both main & "additional..." page _____
Unless otherwise specified by advertiser, "main" photo will be a front exterior view of property.  All other photos (views) will be published on the "additional photos. . ." page.

Photos to be supplied by whom?  Owner/Agent ___  ArkLaMissHomes.com ___  None ____
If ArkLaMissHomes.com is to photograph property, please complete the following:
(We cannot be responsible for less-than-desirable photo quality or missed appointments if you give us incorrect information/directions.  Call us if you have any questions - 318-323-3724.)

Property faces which direction?     North     South     East     West     NE     NW     SE     SW
Best time of day to photograph property in sunlight?  _________________________________
Who will be at property for photography appointment? _______________________________
Phone number (phone # at property or cell # of person attending) _______________________
Directions to property (from a main intersection)_____________________________________ ____________________________________________________________________________
____________________________________________________________________________
Important information for photographer (such as "unfriendly pets on property", "unfriendly neighbors--do not trespass", "storage building in rear to be moved -- do not photograph" , etc.) ____________________________________________________________________________
____________________________________________________________________________
Desired photographs (views) -- such as, Exterior/Front, Exterior/Pool, Interior/Living Room, Interior/Entry Foyer/Staircase, etc._________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Ad Copy for "Additional Photos & Details" Page
(Submit separate sheet if necessary for showing ad copy--up to 100 spaces per line--or more than 12 lines)
(L1) _________________________________________________________________________________
(L2) _________________________________________________________________________________
(L3) _________________________________________________________________________________
(L4) _________________________________________________________________________________
(L5) _________________________________________________________________________________
(L6) _________________________________________________________________________________
(L7) _________________________________________________________________________________
(L8) _________________________________________________________________________________

(additional lines of copy - $2.00/month per line)
(L9) _________________________________________________________________________________
(L10) ________________________________________________________________________________
(L11) ________________________________________________________________________________
(L12) ________________________________________________________________________________

Ad Submission Date _____________________  Photo(s) Submission Date ________________
Ad Copy Submitted via  Phone___  Mail ___  In Person ___  Fax ___  Other _______________
Photos Submitted via  Mail ___  In-Person ___  Other _________________________________

If photos are submitted by advertiser
Date You Desire Ad to Begin (Please allow 1 - 3 days for preparation) _________________

If photos are to be provided by ArkLaMissHomes.com
Date You Desire Ad to Begin (Please allow 3 - 7 days for preparation) _________________

If photo(s) are NOT available by your desired ad start date. . .
Start Ad Without Photo(s) ____        OR        Do Not Start Ad Without Photo(s) ____

Ad Duration

1 Month ______    2 Months ______   3 Months ______ 

PRE-PAY 3 & GET THE 4TH MONTH FREE
OR
Month-to-Month with Automatic Renewal* ______ (Write your initials here to enable Auto Renewal)

*Credit Card Payment Only, Cancellation must be in writing via Fax, Mail, E-Mail or In-Person Delivery and received by us at least one day prior to renewal date.  If "month-to-month" ad cancellation is by telephone, you MUST get a "cancellation confirmation code" when cancelled.  All ads must be prepaid.  Sorry, but no refund or credit for "partial" month duration or cancellations prior to end of pre-paid period.

Ad Payment Information
(see Real Estate Listings Information page for examples)

Basic Listing Fee       "A" = $25.00 (5 lines, main photo & 1 "link") OR                  $_________
                                  "B" = $20.00 (5 lines, main photo & 0 "links") OR
                                  "C" = $15.00 (4 lines of copy, no photo, no "link")
                                  "D" = $10.00 (2 lines of copy, no photo, no "link")
Additional Links (such as link to your email )                                   $5.00 Ea. Link    _________
Optional "Additional Photos & Details" Page  
                  with 2 photos & up to 8 lines of copy   --   $30.00
                       with 3 photos & up to 8 lines of copy   --     40.00
                       with 4 photos & up to 8 lines of copy   --     50.00
                       with 5 or 6 photos & up to 8 lines of copy -- 60.00
                       with 7 or 8 photos & up to 8 lines of copy -- 70.00
                       with 9 or 10 photos & up to 8 lines of copy -- 80.00                                           __________
Addl. lines of copy for "Additional Photos..." page    $2.00 per line after 1st 8            __________
                                                                                    Total Listing Fee             $ ___________
                                            X number of months listing is to run (1, 2 or 3)         X _________
                                     (use "1" for "Month-to-month with automatic renewal"*)

PRE-PAY 3 MONTHS, GET 1 MONTH FREE

                                                       Total Listing Pre-payment Amount    $____________
+ Photography Services Charge (If ArkLaMissHomes.com provides photography
services - $25/first photo, $10/each additional photo, plus travel chg outside Ouachita Parish)  $___________

                                            TOTAL PRE-PAYMENT AMOUNT DUE        $____________

Date Paid _________________________ Name on Card ____________________________________________
Paid by     CASH______  CHECK______  VISA_______ MC_______  AMEX_______  DISCOVER_______
(charge card info)  CARD #_________________________________________ Exp. Date ______________
There is a $20.00 charge for ANY PAYMENT dishonored  by the bank.

PLEASE READ AND SIGN
The person whose signature appears below guarantees that he/she has the legal authority to place the above ad (listing) for this property and agrees to Hold Harmless ArkLaMissHomes.com, its agents, owner and other possible service providers from any liabilities whatsoever for including this ad (listing) on this website (including possible use of this ad and photographs by ArkLaMissHomes.com in other media).  By placing this ad (listing), the undersigned also acknowledges reading and agreeing to the "Warranties" section of REAL ESTATE LISTING INFORMATION which also provides for a LIMITATION OF our LIABILITY.  The undersigned also guarantees that all of the above information is correct to the best of his/her knowledge.

PRINT NAME ______________________________________ DATE ___________________

SIGNATURE ________________________________________________________________

Information below to be completed by ArkLaMissHomes.com

Date Listing Rec _______________ Date Started ___________________ Renewal Date ________________
Photography Appt Date ____________________________Time________________ # Views ____________
Photos Returned To __________________________________________________Date________________


Please print this form, fill-out and return via fax, mail or in-person to
ArkLaMissHomes.com
a service of
Glenn Luttrell Photography
1717 North 7th Street      West Monroe, LA  71291
318-323-3724