Allow me to personally thank you in advance for joining our Global Partner Network.
Senior Virtual Account Coordinator
Karen Spann


U.S. Business Broker  & Real Estate Professional Partner Request Form
(Licensed U.S. Business Brokers & Real Estate Agents Only)


Type:   Select One Real Estate Agent or Broker Business Broker Business Broker and Real Estate Agent Mortgage Broker or Lender Referral Member


First Name    Last Name 
Company Name 
Office Phone   Other Phone
Address   City   State   Zip 
Your Title

Your Specialty
 

Do you have an active statewide referral network in place Select One Yes No

Real Estate Agent License Number     State 
Real Estate Agent License Number     State 
Real Estate Agent License Number     State 
Real Estate Agent License Number     State 

Are you interested in providing BPO (Broker Price Opinion) Services? Yes    No
Type of BPO Services Offered   Commercial     Residential      Both 
If you answered yes, list the zip codes you service below

We are not in a position to offer or guarantee a listing on any of the subject properties that we request a BPO for. Our clients who request these BPOs do frequently provide listings to those Agents/Brokers who have completed BPOs for them (through us) and will contact the Broker/Agent directly.  We included you in our BPO DataBase under the above listed conditions.

    Your email address
Your business website address (This is the site that will be advertised on our web portal)

Have you ever been reported to the real estate commission by a customer/client? Select One Yes No

Will you be attending the next scheduled Realtors Conference & Expo? Select One Yes No Not Sure

I would like additional listing (s) in the following cities:


Referred By Select One Myspace.com ActiveRain Facebook Google Search MSN Search Yahoo Search Lycos Search AtlaVista Search ICSGeorgia.Com RealNova.Com Lalrea.Com IBM Lenovo HP Toshiba Xerox Dell Lexmark Acer Canon Panasonic Fugitisu Gateway Sony U.S. Chamber Of Commerce U.S. Army Website U.S. Pentagon Website U.S. Dept Of Defense Website TV Billboard Radio Newspaper Direct Mail Business Acquaintance Friend Other     

If you were referred by Myspace.Com, please list your Myspace.com url

Your Complimentary # 


(If applicable)
Your Sponsor's Information
Sponsor's Name
Sponsor's Company Name
Sponsor's Address
Sponsor's Phone


DISCLOSURE: By submitting this partner membership application I am agreeing to and giving RealNova, Inc. my permission to advertise my company/business real estate and/or business brokerage website on all RealNova and affiliated websites and internet portals.  I agree and understand that my website will be accessible to potential local, national and global business clients and customers.  I also agree not to hold RealNova responsible for the acts of any visitor to my website. I also agree and understand that RealNova reserves the right to remove my website due to any unacceptable marketing practices or images on my website.  RealNova has my permission to verify my professional standing in my city or state not limited to license verification with my states Real Estate Board of Commission.