AGENT REGISTRATION FORM
Thank you for joining the REMAX Team.
Legal Name (Same as it appears in your R/E license)
*
First Name
Middle Name
Last Name
Nick Name (Other Name Used)
John, Jennifer, etc.
Foreign Name (If Applicable)
홍길동
Date of Birth
MM-DD-YYYY, 01-14-1973
Cell Phone Number
*
Please enter a valid phone number.
Current Email
*
remaxnow23@gmail.com
New Email (Only if you want to use new email with REMAX NOW)
remaxnow23@gmail.com
Home Address
Street Address, Town/City, State, Zip Code
Street Address Line 2
City
State / Province
Postal / Zip Code
Website Address
www.njstreet.com
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Language Spoken
Please list all languages you speak other than English.
Street Address Line 2
City
State / Province
Postal / Zip Code
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Current Brokerage Name
*
Full company name as listed in MLS
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Brokerage Address
Street Address, Town/City, State, Zip Code
Street Address Line 2
City
State / Province
Postal / Zip Code
Years Worked as an Agent/Broker
5 Years, 10 Years
Current License Status
*
Agent / Sales Associate
Broker Associate / Broker-Salesperson
Broker of Record / Owner Broker
Referral Agent
New Agent, not registered with the brokerage yet
Inactive License
Other
Real Estate License Number
*
You may find this number in MLS.
Street Address Line 2
City
State / Province
Postal / Zip Code
NRDS #
*
Write '0000' for new agents.
Street Address Line 2
City
State / Province
Postal / Zip Code
MLS Membership
*
NJMLS
HUDSON MLS
GSMLS
ALL JERSEY MLS
BRIGHT MLS
NY MLS (ALL KINDS)
Other
Working Status
Full-Time Agent. No Other Occupation.
Full-Time Agent. Part-Time Other Occupation.
Part-Time Agent. Part-Time Other Occupation.
Part-Time Agent. Full-Time Other Occupation.
Licensee, But, Not Currently Active
Other
Preferred Split (1/1/25)
*
Split 1: (Regular Program) 85/15, Cap $10,000, No Profit Share, Desk Fee $280
Split 2: (Regular Program) 90/10, Cap $12,000, No Profit Share
Split 3: (Profit Share Program): 90/10, Cap $15,000, 100% Profit Share
Split 4: (Profit Share Program): 100/0, Cap $0, 100% Profit Share, Desk Fee $1,475
TBD (To Be Decided)
Preferred Agent Support (For Partners)
Online Marketing: Posting and Managing
Platform Updates: Compliance, Dotloop
Advertisement Assistance
Paperwork Assistance: Town CCO, OPRA
None
Sponsor Name (Important)
*
The person who recruited you to the company. If none or if you self-registered, please write "None"
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Joining Date
-
Month
-
Day
Year
Date you want to join Remax Now.
Marketing Slogans (1-3 Sentences): These will be used for the company's advertisements, homepage, and on SNS postings.
You may write in English and/or in other language.
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AGENT BUSINESS CARDS
The provided information will be used to create your business card.
Name to be used in business card if different from the legal name.
Must contain legal name followed by optional additional name. ex. Sung Kil 'Simon' Kim
Street Address Line 2
City
State / Province
Postal / Zip Code
Credentials, Certificates, Awards, or a Member of
If you wish to include credentials or award logos, please provide them via email to remaxnow23@gmail.com
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Slogan (In short words)
ex. Serving Bergen county. Residential and Commercial. Sold over $50M, etc..
Street Address Line 2
City
State / Province
Postal / Zip Code
Your title for business card
Salesperson
Sales Associate
Real Estate Agent
Licensed Real Estate Agent
Real Estate Specialist
Realtor
Broker Associate
Broker-Salesperson
Other
Please upload your current business card.
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Please upload your profile picture in high resolution (for business card)
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