Member Application & Company Profile

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Firm Name

Address

City

State

Zip Code

Name / Title of Owners / Officers

Population of Your Service Area

List the Communities in Your Service Area

Number Of Offices

Full Time Agents

How Long Has Firm Been In Real Estate Business

Average residential sales price and price range:

Sales Price

Price Range

Average number of listings and sales by your firm each month:

Listing

Sales

Approximate total volume (percentage) of firm during last 12 months:

Residential

Commercial

Person (s) in your firm to whom referrals would be directed:

Name 1

Office Phone 1

Cell Phone 1

Home Phone 1

Fax 1

Name 2

Office Phone 2

Cell Phone 2

Home Phone 2

Fax 2

How many referrals will your company produce in the next 12 months if accepted for membership?

Your Name

Your Email

Your Title