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Referral Form

Hi there, please fill out and submit this form.
18Questions
  • 1
    The day you are submitting your referral.
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    Pick a Date
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  • 2
    The name as it appears on your referral license.
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  • 3
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  • 4
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    Enter
  • 5
    Enter YES if you are choosing the agent to send this referral to. Enter NO if we are choosing an agent for you.
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  • 6
    The Agent Your Are Sending This Referral To. ENTER N/A IF YOU ARE LETTING US CHOOSE THE AGENT FOR YOU!
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  • 7
    The email address of the agent you are sending the referral to. Skip this question we are choosing the agent for you.
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  • 8
    Enter the phone number of the agent you are sending this referral to. Skip this question if we are choosing the agent for you.
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  • 9
    Enter the name of the brokerage this agent works for. Skip this question if we are choosing the agent for you.
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  • 10
    Enter the name of the broker and phone number if you are choosing the agent to refer to. If we are choosing the agent for you, skip this question.
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  • 11
    Enter all of the clients full names that you are referring. Use a comma between names.
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  • 12
    Enter the email address of the client you are referring.
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  • 13
    Enter the phone number of the client you are referring.
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  • 14
    What services are the clients looking for. You may choose more than one.
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  • 15
    Enter any other details you would like to share about this referral.
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  • 16
    The terms of the referral commission agreement shall be:
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  • 17

    TIMEFRAME FOR PAYMENT AND AGREEMENT TO INCLUDE COPIES OF CLOSING DOCUMENTS:

    Referring Broker and Receiving Broker acknowledge and agree that the referral commission shall be paid within seven calendar days of settlement or execution of a lease. Referring Broker and Receiving Broker also acknowledge and agree that the closing documents if any shall be included with the referral commission payment.

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  • 18
    Sign your name below.
    Clear
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