First Name
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Last Name
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Email
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Phone
*
Address
*
City
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State
*
Postal code
*
Date of birth
*
Licensing State
*
Florida
Texas
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Agent License
*
Brokerage Name
*
Team
How many transactions do you anticipate to close each month?
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Do you have a contract or listing ready to submit in the next 24 hrs?
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Yes
No
If no, when do you anticipate submitting your first contract/listing to List2CloseMgt?
Compliance/Brokerage System Name
*
Compliance Username/Password
*
E-Sign Platform
*
E-Sign Username/Password
*
MLS System
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MLS System Username/Password
*
How did you hear about List2CloseMgt
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List2CloseMgt Transaction Coordinator
Agent Referral
Real Estate Office
Marketing Flyer or Email from L2C
Google Search/Website
Facebook
Instagram
Event
Other
Referred By (Name)
*
What RE office referred you?
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Facebook Username
Instagram Handle
Headshot
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