The Ginther Group Referral Form
Thank you for partnering with us.
REFERRING FIRM INFORMATION:
Date
*
 -
Month
 -
Day
Year
Date
Tell us who you are:
*
I am a Ginther Group/Ginther Group Network Agent
I am referring to a Ginther Group/GInther Group Network Agent
Type of Referral:
*
Referring Out
Inbound Referral
Is the referral to another Ginther Group Network Agent, either at the Hub or an Expansion Partner?
Yes
No
Source of Referral
*
Team/Network Lead
Sphere/Agent Direct
Other
Your Market Center
*
Keller Williams Realty Elite - Winston-Salem
Keller Williams One - Greensboro
Keller Williams Realty - Roanoke
Keller Williams Realty United - Chapel Hill
Keller Williams Central - Burlington
GG/GGN Agent Name
*
Unknown
Alexandra Stevens
Anthony Thomas
Blake Ginther
Brandon Lolez-Tovar
Candler Moore
Cesar Hernandez
Daniel Caudill
Danielle Osborne
Emily Weems
Fatima Herrera
Judy Watkins
Kathy Choi-Rogers
Kevin Perriman
Layne Johnson
Mary Cates
Megan Arispe
Steven Hubler
Susan Shults-Pearson
Tina Phillips
Ty Keating
If you are an ISA, please use Blake Ginther as the referring agent name
ISA Name
Makayla Valladares
Melissa Durant
Tate Mickey
Tiffani Jimenez
If you are an ISA referring a team lead, please insert your name here
Referring Agent Name
*
Referring Agent Phone Number
*
Referring Agent Email
*
example@example.com
Referring Firm Name
*
Referring Firm Street Address:
Referring Firm Additional Street Address:
If on a team, please insert team name here
Referring Firm City:
Referring Firm State:
Referring Firm Zip:
License Number
*
What is the expected referral fee percentage?
*
RECEIVING FIRM INFORMATION:
Area the client is moving to/selling in:
Winston-Salem/Triad Area
Greensboro Area
Burlington/Chapel Hill/Central Area
Raleigh/Duham/Triangle Area
Roanoke/Virginia Area
Other
Â
GG/GGN Agent client is being referred to:
Alexandra Stevens
Anthony Thomas
Blake Ginther
Brandon Lopez-Tovar
Candler Moore
Cesar Hernandez
Daniel Caudill
Danielle Osborne
Emily Weems
Fatima Herrera
Judy Watkins
Kathy Choi-Rogers
Kevin Perriman
Layne Johnson
Mary Cates
Megan Arispe
Steven Hubler
Susan Shults-Pearson
Tina Phillips
Ty Keating
Unknown
Agent you are referring your client to:
First Name
Last Name
Receiving Firm Name:
*
Receiving Agent Firm Street Address:
Receiving Agent Firm Additional Street Address:
Receiving Agent Firm City:
Receiving Agent Firm State:
Receiving Agent Firm Zip:
Receiving Agent Phone:
Receiving Agent Email
example@example.com
PROSPECT INFORMATION:
Prospect Name
*
First Name
Last Name
Prospect Address:
Prospect Phone Number
 -
Area Code
Phone Number
Prospect Email:
example@example.com
Type of Business Referred
*
Buyer
Seller
Buyer and Seller
Renter
Commercial
Other
Is your client aware of this referral?
*
Yes
No
When will you be notifying your client of the referral?
Tell us about your client and what they are looking for:
Signature of Referring GG/GGN Agent
Signature of Referring Agent
Signature of Agent/Broker Receiving Referral
Submit
Alexandra Email
example@example.com
Anthony Email
example@example.com
Blake Email
example@example.com
Brandon Email
example@example.com
Candler Email
example@example.com
Daniel Email
example@example.com
Danielle Email
example@example.com
Kevin Email
example@example.com
Emily Email
example@example.com
Fatima Email
example@example.com
Judy Watkins Email
example@example.com
Kathy Email
example@example.com
Cesar Email
example@example.com
Layne Email
example@example.com
Mary Email
example@example.com
Megan Email
example@example.com
Steven Email
example@example.com
Susan Email
example@example.com
Tina Email
example@example.com
Ty Email
example@example.com
Blake Phone
Alexandra Phone
Brandon Phone
Anthony Phone
Candler Phone
Cesar Phone
Daniel Phone
Danielle Phone
Emily Phone
Fatima Phone
Judy Phone
Kathy Phone
Kevin Phone
Layne Phone
Mary Phone
Megan Phone
Steven Phone
Susan Phone
Tina Phone
Ty Phone
KWRE Steet Address
KWRE Additional Steet Address
KWRE City
KWRE Zip
KW Chapel Hill
KW Roanoke
KW Greensboro
Keller Williams Realty Elite - Winston-Salem
KW Realty Roanke Street Address
KW Realty Roanoke Additional Street Address
KW Cary Street Address
KW Cary Additional Street Address
KW Cary City
KW Realty Roanoke City
KW One City
KW One Street Address
KW One Additional Street Address
KW One Zip
North Carolina
Virginia
KW Cary Zip
KW Realty Roanoke Zip
Alexandra
Anthony
Brandon
Blake
Candler
Cesar
Daniel
Danielle
Judy
Emily
Fatima
Kathy
Kevin
Layne
Mary
Megan
Steven
Susan
Tina
Ty
Alex License
Anthony License
Brandon License
Blake License
Candler License
Cesar License
Daniel License
Danielle License
Fatima License
Judy License
Kathy License
Kevin License
Layne License
Mary License
Megan License
Steven License
Susan License
Ty License
Tina License
Emily License
Should be Empty: