Claim Your Coin / Level Up Millionaire
Please submit this form with the attached documentation to increase your Millionaire Level. Real Estate Disruptors shall be the sole arbiter whether you have successfully completed the requirements for any level. Contact us with any questions at Steve@disruptors.com.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Mailing Address for your Disruptors Chips
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Instagram
*
Please select the level(s) you are applying for recognition. Only include level(s) for which you have not yet received your Disruptors Chips.
*
The Grey (1 closed deal)
The Blue (10 closed deals)
The Green (25 closed deals)
The Black ($100,000 in fees in 12 months)
The Purple ($100,000 in fees in one month)
The Challenge ($1 million in fees in 12 months)
Name of Your Company on HUD / Closing Documents which was Paid Fees
*
Gross Total Amount of Fees You Received for Deal(s) Submitted:
*
Upload Documents
*
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