EZ Choice Realty Info & Registration

EZCR Independent Contractor Application

Before filling out the form below, please take a moment to review our Independent Contractor’s Terms, Conditions, Policies and Procedures by CLICKING HERE

Contractor's Personal Information

Contractor's Name*

First NameLast Name

Contractor's E-mail Address*

Contractor's Phone Number*

Area CodePhone Number

Contractor's Date of Birth*

MonthDayYear

Contractor's SSN*

Contractor's License #*

Have you created a professional entity for tax purposes and updated your RE License with the DBPR? *

Contractor's Entity Name*

Contractor's Entity EIN*

Contractor's Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Contractor's Selections

Which Agent compensation/support plan do you wish to select?*

To view a detailed breakdown of the plan options above and the different levels of support offered with each plan CLICK HERE

Do you belong to or plan to join a Realtor Association?*

Provide the name/title of your Realtor Association*

Do you intend to perform Property Managment?*

Do you wish to enroll in Broker Mentorship?*

Were you referred to EZ Choice Realty by another Agent?*

What is the name of the Agent that referred you to join? *

First NameLast Name

Commisison Direct Deposit Information

This banking information will only be used by Broker when making payments to Contractor anytime commissions are received by Broker on behalf of Contractor's efforts.

Name of Bank Institution*

Name on Bank Account *

Bank Routing Number*

Bank Account Number*

Contractor's Signature & Acceptance

By checking the box provided above and by signing and submitting this form to Broker, Contractor acknowledges they have reviewed and understand the policies, terms, and conditions provided, that the information provided is accurate, that they authorize Broker to post charges to the credit card provided, and hereby agree to become an agent with EZ Choice Realty (EZ Choice, INC and/or EZ Choice Real Estate, INC)

Onboarding and Prorated Monthly Fee Acknowledgement*

I understand that I will be contacted by phone or email by a member of EZ Choice Realty Staff in order to collect Credit Card information by phone. That information will be used to pay the initial $150 onboarding fee, a prorated portion of the monthly fee based on my plan selection, and be used for all ongoing monthly payment obligations.

Acceptance of Broker's policies*

Contractor's Signature *