Gay Real Estate providing Gay Realtors and Gay Real Estate Agents for Gay Relocation

NEW AGENT APPLICATION

This form serves your request to be considered for incoming listing and sales referrals to your service area. THERE IS NO COST TO JOIN OR MAINTAIN MEMBERSHIP IN OUR REFERRAL NETWORK. You will find our referral fees to be competitive. Within a few days of our receipt of this application, you will receive via U.S. mail an information packet concerning our program. If you wish to speak to one of our agents directly, contact us info@gay-homes.com, leave a message and your call will be returned. Thank you for using our services.

INSTRUCTIONS:
- Fill in the blanks (move your cursor over the blanks and click).
- When finished, click on the "SUBMIT" button.

COMPANY NAME:

 

STREET:

 

CITY:

 

STATE:

 

ZIP CODE:

 

OFFICE PHONE:

 

FAX:

 

TOLL FREE
PHONE:
  (Optional)

CELL/MOBILE
PHONE

  (Optional)

BROKER-IN-
CHARGE, NAME:

 

AGENT NAME:

 

HOME PHONE:

 

E-MAIL:

 

MALE/FEMALE:

 

GAY or LESBIAN
or SUPPORTIVE:

 

CITIES SERVED:

 

COUNTIES SERVED:

 

MEMBER OF MULTIPLE
LISTING SERVICE?:

 

YEAR BEGAN IN
REAL ESTATE?:

 

"SPECIALTIES":

 

How did you locate www.gay-homes.com? For instance, website [if so, please name the website], flyer, friend, advertisement, direct mail, etc.