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Your Street Address:*

Your City:*

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Zip:

This is the mailing address for you. We use this for normal contacts, and for display on the website, where your theme choice supports it.

Your Email Address:*

Your Business Phone:*

About Your Brokerage

Brokerage Name:* This is the company name of the Brokerage that you work for.

Broker:* This is the name of the person who is the primary Broker in the Brokerage.

Brokerage Street Address:*

Brokerage City:* This is the mailing address for the Brokerages primary office.

St:

Zip:

Brokerage Phone:*

Brokerage Tollfree:

Brokerage Website:

Brokerage Email: This is contact information for the Brokerages primary office.

Number of offices: How many offices will this domain serve? Note: Agentsites are always "1".

About Your New Site

Domain Name:* This is the domain we will be hosting, do not enter "www.", an email address, or "https://".

Domain Type:

Counties Covered* List all the counties or parishes that you work in. Separate them with commas.

Account To Purchase: Individual Site plans support a single Real Estate Professional, they do not have access to brokerage features like multiple users, Advanced Lead Management, or the Transaction Management System. Individual sites do not recieve a free trial.

About Your Local Board and Listings

Your MLSID Number: This is the identifier / member number used by the Multiple Listing Service on your listings.

Brokerage MLSID Number: This is the identifier / member number used by the Multiple Listing Service on your Brokerage listings.

Area Board Primary Membership:

Additional Board Membership:

You are required to be a member of all Boards you select to display listings from. Some Boards charge additional fees for IDX access.

Current Listing MLSID numbers: Please provide a few active listing ID numbers to help us identify information about you in the MLS system. The number and type of listing for example "12345/Residential" or "T54321/Vacant Land".

Payment Information

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Expiration Year: *

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