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Client Registration Form
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Step
1
of 4
I am registering a:
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-Select-
Renter / Tenant
Property Management Client
Residential Seller
Residential Buyer
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Agent Name
*
First
Last
Agent Phone
*
Agent Email
*
Brokerage Name
*
License State
*
License Number
*
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Primary Renter/Tenant Name
*
First
Last
Rental Property Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary Renter/Tenant Phone (not req'd)
Primary Renter/Tenant Email (not req'd)
Management Referral Name
*
Management Referral Phone
*
Management Referral Email
*
Management Referral Property Address (if known)
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Referral Name
*
First
Last
Referral Phone
*
Referral Email
*
Referral Listing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Terms & Conditions
*
I understand that payment of any commissions paid on renter and/or tenants shall not actually be paid or earned until the renter/tenant has taken occupancy and possession of the premises by satisfying all application and lease requirements - including payment of all move-in fees. Failure of the renter/tenant to take possession of the premises shall constitute forfeiture of any commissions that would be owed to me had the renter/tenant taken possession of the premises. I further understand and accept that any and all commissions will be paid via check and directly to the broker/brokerage and processed by Blueprint® between 10-15 days after renter/tenant has taken possession of the premises.
Terms & Conditions
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I understand that payment of any referral or commission fees paid on property management referrals shall not actually be paid or earned until the referred client has executed a signed management agreement and has paid any and all applicable account establishment/start-up fees. Failure of the referred client to complete a signed management agreement and pay any necessary fees shall constitute forfeiture of any referral or commissions that would be owed to me. I further understand and accept that any and all commissions will be paid via check and directly to the broker/brokerage holding my license and processed by Blueprint® between 10-15 days after the referred client completes a fully executed management agreement along with any and all applicable fees.
Terms & Conditions
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I understand that payment of any referral or commission fees paid on referrals shall not actually be paid or earned until the referred client has successfully closed on a fully executed purchase and sale agreement. Failure of the referred client to successfully close on a purchase and sale agreement shall constitute forfeiture of any referral or commissions that would be owed to me. I further understand and accept that any and all referral fees or commissions will be paid via check and directly to the broker/brokerage holding my license and processed by Blueprint® between 10-15 days after the referred client has successfully closed on a fully executed purchase and sale agreement and any funds received from the closing by Blueprint® have completely cleared processing by our banking institution.
Signature
*
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