Site Plan
ORDER FORM
Who are you?
*
Homeowner
Builder
Realtor
Other
What brokerage are you associated with?
Company Name:
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who are you representing?
*
Builder
Client
Do you have a builder?
*
Yes
No
NAME of Builder / Company
Do you have a client attached to this project?
*
Yes
No
Your Client's Name:
First Name
Last Name
Your Client's Email:
example@example.com
Your Client's Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Responsible Billing Party?
*
Homeowner
Builder
Realtor
Other
Lot Information:
Lot Number:
*
Development:
*
City:
*
Project Address:
Plan to Reference
Plan Name:
Lot Number (if applicable)
If different from above
Development (if applicable)
If different from above
Address (if applicable)
If different from above
Builder
Lot Certificate / Lot Survey Upload
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Please upload your lot certificate or lot survey certificate here or email to Brittany at b.reinwald@virtuactive.com
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