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Gold & Platinum Agent Sign-Up


 

Please complete and submit the Agent Sign-Up Form below and we will process your request as quickly as possible. This Sign-Up Form is for Gold and Platinum Packages only.  If you are interested in our Basic Agent Sign-Up, Click Here.

*First Name
*Last Name
*Company 
*Street Address
*City             
*State           
*Zip              
*Phone Number
*Toll Free Number
*Fax Number
*Email 
*Website Address

*Please enter any additional information you would like displayed with your listing (i.e. experience, services, relocation information, etc.).  Maximum 255 characters please. 


*Please indicate how we can access your photo for your listing:

I will send it via e-mail (.jpg/.art/.bmp/.gif format)  

I will mail a photo to have scanned (photo will be returned)

Copy from my website above

Copy from the following website:

Please do no post my photo on my listing


*Please indicate the City(ies) you would like to be listed in:

City 1 City 2
City 3 City 4
City 5

For Platinum Members Only:
Please indicate the city in which you would like your Banner Advertisement placed and 
link to your website from our Home Search page:

Additional City Listings (Additional Cost of $20 per City)

City 6 City 7
City 8 City 9
City 10 City 11

*Licensing: Sales Associate         Broker    
 
*Are You a REALTOR®? 

Yes

No


 

*Experience:
Less than 1 Year 1-5 Years
6-10 Years 11-15 Years
16-20 Years 20 Plus Years

Please select the Buyer & Seller services you provide and/or are willing to cooperate in.

*BUYER SERVICES:

Buyer Brokerage
  Buyer & Seller Agency 
Exclusive Buyer Agency    
FSBO Co-Op       

*SELLER SERVICES: 

Set Rate Commission Variable Rate Commission
Fee For Services  Hourly Rates    $/Hour
Bid For Listings FSBO Co-Op
Sell & Buy Rebate Flat Fee    $ 

Please indicate any of the following Professional Designations you have received:

ABR CCIM CIPS CPM 
CRB CREA CRES       CRP
CRS E-PRO GRI SRES

Please indicate which languages you speak:

Arabic Armenian Cantonese English
French German Greek       Italian
Japanese Korean Mandarin Portuguese
Russian Sign Language Spanish Taiwanese
Ukrainian Vietnamese     
Other

Please indicate your area(s) of specialization:

Auctions Business Opportunities Buyer Brokerage
Commercial Condominiums/Townhouses  Farm and Land    
Foreclosures Horse Property Investments
Luxury Homes   Military New Construction
Property Management  Relocation Rentals
Residential Relocation Rentals
Time Shares Vacation & Resort Property

Please contact me regarding additional advertising opportunities with AgentsDirect.com™

In order to assure that we have the best service providers associated with our site, we would appreciate if you could recommend some of the Service Providers you use in your business. (Optional)

Lender / Mortgage Broker   
Phone
Escrow/Title Officer     
Phone
Pest Inspector   
Phone
Property Inspector   
Phone
Roof Inspector   
Phone
Chimney Inspector       
Phone
Pool Inspector            
Phone 
Other   
Phone

Please tell us how you heard about AgentsDirect.com™:

Internet Advertisement     E-Mail Advertisement     Surfing The Web

From the following Print Advertising:

From the following Search Engine:

From the following Convention:

Other:


PAYMENT INFORMATION

*Please select which package you would like to sign-up for:

     Gold Package ($99.00/Year)                   

     Platinum Package ($199.00/Year)  

Please enter the total number of cities selected
(5 Cities included with your membership, additional cities $20 each)

Please enter the total amount due $
(Gold Package $99/Platinum Package $199 plus any additional cities selected)

 

*PLEASE SELECT PAYMENT METHOD:
(You will be billed either electronically through PayPal or via mail if paying by check or money order only after your profile is completed and uploaded to the website)

Credit Card Payment via PayPal                Check/Money Order

 

CHECK or MONEY ORDER

Send your check or money order for the total amount to:

AgentsDirect.com®
6557 Edgebrook Court
San Jose, CA  95120

Please be sure to include your name and the city(ies) which you are signing up for with your check or money order.



By submitting this request, you acknowledge that you have read, understand and agree to the terms stated in the Agent Agreement.

   


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