GSMLS Reinstatement Form
This is to notify Garden State MLS, Supra Products Inc. and National Cooperative Bank that am reinstating my membership with Garden State MLS.
Agent ID#
*
ID is 6 numbers starting with a 2 or 3
Full Name
*
Address 1
*
City, State & Zip
*
Phone
*
NJ Real Estate License #
*
(7 numbers)
Email
*
GSMLS Account Password
*
(6-20 Letters and/or Numbers)
Office ID
Office Name
Office Street Address
Office City, State & Zip
Office Phone
Agent's Signature
*
Submit
Should be Empty: