Premier Leverage Solutions
Business Information
Your Name
First Name
Last Name
Birthday (00/00/000)
Business Name
Brokerage Name
Brokerage Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload Headshot
Upload Company Logo
Browse Files
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Website URL
Facebook URL
Review Page URL
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
More information
Keller Williams Market Center Contacts
MCA Name (or main contact for compliance)
First Name
Last Name
MCA Phone
Please enter a valid phone number.
Format: (000) 000-0000.
MCA Email
example@example.com
BIC Name
First Name
Last Name
BIC Phone
Please enter a valid phone number.
Format: (000) 000-0000.
BIC Email
example@example.com
Preferred Vendor List
Home Inspector Company
Home Inspector Name (Office Contact)
First Name
Last Name
Home Inspector Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Home Inspector Email
example@example.com
Pest Inspector Company
Pest Inspector Name (Office Contact)
First Name
Last Name
Home Inspector Email
example@example.com
Pest Inspector Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Photography Company
Photographer Name (Office Contact)
First Name
Last Name
Photographer Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Photographer Email
example@example.com
Home Warranty Company
Home Warranty Contact Name (Office Contact)
First Name
Last Name
Home Warranty Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Home Warranty Email
example@example.com
Attorney Company
Paralegal Name
First Name
Last Name
Paralegal Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Paralegal Email
example@example.com
Mortgage Company
Loan Officer Name
First Name
Last Name
Loan Officer Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Loan Officer Email
example@example.com
Additional Vendors/ Back Up Vendors
Software Details
Required If We Are Handling Compliance
Electronic Signature Software (Dotloop, Docusign, etc.)
Log in credentials
Brokerage Compliance Software (Command, etc)
Log in credentials
Additional Information
Submit
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