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Gold & Platinum Upgrade

 

Please complete and submit the Gold & Platinum Upgrade Form below and we will process your request as quickly as possible. This Sign-Up Form is for Agents who have already signed up with AgentsDirect.com® and are Upgrading to a Gold and Platinum Package only.  If you are not already signed-up with AgentsDirect.com®, please Click Here.

*First Name
*Last Name
*City             
*State           
*Phone 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

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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