REALTOR Information Change Request

Information Change Request
My information is updated and accurate with TREC or TALCB.*

YesIf not, please update your information with TREC or TALCB
I am a member of:*
I am requesting to:*

Transfer FirmsUpdate my contact informationSet up new firm or office
Name*

First NameMiddle NameLast NameSuffix
Nickname
Individual TREC or TALCB License #*

0/7
E-mail*
example@example.com
This office is a:*

New office / companyNew office location (branch office)Existing office locationOther
Office Name*
Office Address*

Street Address

Street Address Line 2

CityState

Zip Code
Sponsoring Broker Name*
Type of Business*
Office Phone Number*
Office Fax Number*
Home Address*

Address Line 1

Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*
Home Number
Preferred Phone*
Preferred Mailing*
Your Position*

Designated REALTORSales AgentOffice ManagerAppraiserOther
Check box to apply these updates in the MLS.*

YesNo
Which MLS do you need the updates to be made in:

Del RioEagle PassMatagordaPalestineTexas REALTORS® Direct
If your MLS is not listed above, please contact your MLS directly to update your information in MLS system.
Your request will be updated within 2 business days. Please contact your MLS directly to update your information in MLS system.
Your request will be updated within 2-3 business days. Check box to apply these updates in the MLS.

YesNo
Should be Empty: