Vacation Rental Referral

Vacation Rental Referral
Vacation Rentals only services Bald Head Island, Carolina Beach, Kure Beach & Wrighsville Beach

Referring Agent receives a 25% referral fee of Intracoastal Vacation Rentals established summer week rental rate, payable following execution of Exclusive Property Management Agreement.

This form must be submitted within 3 months of referring the client to the rental program in order to qualify for payment.

Agent Information
Your Name*

First NameLast Name
Your Phone Number*
Your Email*
Your Company*
Your Broker's Company name

Property Owner Information
Owner Name*

First NameLast Name
Owner Mailing Address*
Owner Phone Number*
Owner Email*

Property Information
Vacation Rentals only services Bald Head Island, Carolina Beach, Kure Beach & Wrightsville Beach
Rental Property Address*

Additional Information
Additional information
Add anything you feel is important to know about this referral.

Rental Office Use Only
Status

In ProcessComplete (Sent to Accting)Dead Lead
Referral Receipt Date

MonthDayYear
Date
Res #
Agreement Date

MonthDayYear
Date
Lease Date

MonthDayYear
Date
Amount Due
Mail/deliver to
Department

RVCRVWRVDRVSRVBB
Date submitted to Accounting

MonthDayYear
Date

Hidden fields
VR Email
example@example.com
Accounting Email
example@example.com

Finished
Should be Empty: