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.
*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:
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)
Please
select the Buyer & Seller services
you provide and/or are willing to
cooperate in.
*BUYER
SERVICES:
*SELLER
SERVICES:
Please
indicate any of the following
Professional Designations you have
received:
Please
indicate which languages you speak:
Please
indicate your area(s) of
specialization:
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)
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.