Outgoing Referral Request
Sending Agent
*
Requestor
Receiving Agent Name
*
Receiving Agent Brokerage name
*
Receiving Agent Email Address
*
Receiving Agent Phone #
Buyer or Seller
*
Buyer
Seller
Both buyer and seller
Did you inform the receiving agent that you are sending them a referral?
*
Yes
No, I will shortly
No, please text/email/call them on my behalf
Client Name
*
Client Email Address
Client Phone #
Referral Fee (Typically 25%)
*
Referral Expiration Date (Typically 1 or 2 years)
*
The referral agreement is valid for
blanks
*
(number) transactions
Source for the lead:
Company-generated lead
Your lead (Contractor-generated lead, i.e. a friend)
Any Notes for Receiving Agent?
Submit
Should be Empty: