555 Barrington Broker / Agent Registration Form

555 Agent / Broker Registration Form
Agent Information
Email:*
DRE / Sales License #**
Brokerage*
Brokerage Address**
City**
Your Client's Information
Apartment Unit Type
Desired Move-In Date:*

MonthDayYear
Initial Tour Date*

MonthDayYear
Please let us know if there is anything else we can assist you with.
This form verifies that I will be referring the client named above to 555 Barrington. I recognize that Douglas Emmett pay me a referral fee should they lease an apartment at 555 Barrington within thirty (30) days of the signing of this registration.

Brokers/Agents will earn a commission if the following prerequisites are met: (i) A fully executed lease agreement is completed between Owner and Client within thirty (30) days of submission of this registration form ; (ii) Client subsequently occupies the subject premises and the lease term commences; (iii) no other Broker / Agent registrations are received for this Client. The amount of the commission payable shall be established by a separate agreement between Owner and Broker / Agent.
Should be Empty:

Agent Information