Order Form
Check Off Your Product Selection:
______ $498.50 Hybrid FSBO MLS Listing Package - Includes Realtors Flat Fee MLS Listing
Service, Plus DenverFSBO 5 Month FSBO Ad, Plus our Standard Yard Sign
______ $49.50 One month Standard Ad
______ $99.50 Five Month Standard Ad
______ $19.50 Standard Yard Sign, Shipping Included.
______ $59.50 Deluxe Yard Sign with Information Sheet Container, Shipping Included.
Credit Card Authorization (all as it appears or is registered for
the credit card)
Name______________________________________
Mailing Address_____________________________
___________________________________________
Card # _____________________________________
Card Type ___ Master Card ____ Visa
Expiration date (mm-yyyy) ____________________
Signature ________________________________
Make Checks Payable To FSBO Advertising Service, Inc. Mail to P.O. Box
517, Bellaire, Tx. 77402-0517 or Fax 713-664-4127. Do Not Email Credit Card
Information. Up to 5 Photos are processed Free, send Self Addressed Postage Paid
envelope If you want the photos returned.
Required Information
All fields applicable to your type of property Must Be Completed (i.e., items 8
through 18 might Not be applicable to Vacant Land).
1. Asking Price (Sale) :_________________, 2. State:______________
3. For Sale or Rent? ________________ If Yes-Rent Price (per mo.) ______________
4. County:__________________________, 5. City:______________________________,
6. Zip Code:__________,7. Type of Property:(i.e. single family, condo-townhouse,
vacant land, commercial),___________________________8. # Bedrooms:_________,
9. # Baths_________, 10: Approximate Sq.Ft.:__________,11. # of Stories:_______,
12. Entry Door - Story Level:_________, 13. Year Built:______________,
14. Garage or Carport:____________________________,15. Private Pool:________,
16. Area Pool:__________, 17. Fireplace:________, 18. Gated Entry:_____________,
19. Offered by:___________________________, (owner, realtor, builder, developer),
20. If item 19 is "realtor" You must include Realtor name, Brokers name
& address:
_________________________________________________________________________
21. Seller's contact information to be PUBLISHED in the advertisement:
A._____Main Phone #:_______________, B._______Phone
#:_________________
C. _____Phone #:________________, D. _____
Email:______________________,
E. _____Fax #:__________________,
Just select and supply the contact information you want PUBLISHED in your ad.
22. Two Word Searchable Discription _______________________________________
(i.e. Beach View, Suburban Area, Close In, Retirement Community, Golf Community, etc)
This information is Not Published. It is for Our Use Only
to assign you your User ID and contact you ourselves:
Name:________________________________, Mailing Address: _____________________
__________________________________________________________________________.
Main Phone # (Log In User ID):______________________, Email:___________________
23. Choose Your Log In Pass Code ________________________(2 characters minimum)
How did you first hear about Us?_______________________________________________.
Additional Information
Complete as few or many items as you desire.
24. Street address of property __________________________________________
Neighborhood Name __________________________________________________
25. School district name________________________________________________
A. Elementary school name___________________________________________
B. Middle school name_______________________________________________
C. High school name_________________________________________________
26 Is property subject to a mandatory owners association_________
A. If yes, state monthly fees__________
27. Will owner CONSIDER offers with some owner financing ______
28. Does owner have an assumable mortgage ______________
A. If yes, is it with or without qualification_______________
29. Will owner consider offers from Realtors including some
commission payment to the realtor_________
30. Lot dimensions __________ X _________
31. Acreage _______________
32. Utilities
A. Water supply_________________________(i.e. city, private
system, well)
B. Type sewer __________________________(i.e. city, private
system, septic)
33. Cooling system_______________________ (i.e. elect or gas, central or other)
34. Heating system________________________(i.e. elect or gas, central or other)
35. Hot water________________ (i.e. gas or electric)
36. What Appliances will be included in the asking price (up to 255 characters)
______________________________________________________________________
______________________________________________________________________
37. If you have a pool, sprinkler system, or other outdoor equipment, what
is included in the asking price (i.e. heater, Polaris, sprinkler, etc) (up to 255
characters)________________________________________________________________
_________________________________________________________________________
38. List Recent Updates(i.e., ac unit, carpet,Kitchen or Bath)(up to 255
characters)
_________________________________________________________________________
_________________________________________________________________________
39. Are you including any allowance for redecorating items such
as new wallpaper, paint, carpet - etc in your asking price (yes or no)____________
40. Room sizes and type flooring as apply to your property
A. Living room _______ X ______ , Floor Type_______
B. living/dining combo ________ X _________, Floor Type_______
C. Dining room ________ X _________, Floor Type_______
D. Kitchen _________ x _________, Floor Type_________
E. Breakfast Room _________x_______Floor Type_______
F. Den/Great room _________ X _________Floor Type______
G. Master Bedroom _________ X _________ Floor Type ______
H. bedroom 2 _________ X ________ Floor Type ________
I. bedroom 3 _________ X ________ Floor Type_________
J Bedroom 4 _________ X ________ Floor Type________
41. Other Home Features (i.e., alarm system, etc)(up to 255 characters)__________
_________________________________________________________________________
_________________________________________________________________________
42. Exterior construction (i.e., brick, stucco, cedar)________________________
43. Enter your narrative comment: Try to focus on Selling Points. Be as
brief and
concise as possible. Remember, a picture is worth several thousand words.
Comment is limited to 1000 characters.
Comments:_________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
44. Next Scheduled Open House Date (MMDDYYYY) ____________________________
45. If For Rent - Deposit? ____ Amount _______, Application Fee ? ____ Amount _____
Other Lease Terms _________________________________________________________
__________________________________________________________________________
Thanks for using our service, and Good Luck with your deal.