AGENT INTAKE FORM
This form is for you as an agent to provide enough information to us to get you added to our systems and ensure accuracy when working with you.
Agent Name
*
First Name
Last Name
Agent Email
*
example@example.com
Agent Phone
*
Please enter a valid phone number.
Agent License Number
*
Agent Public ID
*
Agent Brokerage Name
*
Broker's Name
*
Broker's License Number
*
Is Agent part of a team? If yes, What is your team leader's name?
Do you charge a transaction fee? If yes, how much?
*
If the fee amount varies please put 'VARIES'
Submit
Should be Empty: