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Phyllis Staines, RE/MAX Realtor in Jacksonville, Ponte Vedra, and Nocatee Florida
Agent Referrals
Thank you for your referrals!
Agent Referral Agreement
Phyllis Staines
RE/MAX Coastal Real Estate
50 A1A North, Suite 108
Ponte Vedra Beach, FL 32082
Referral Agreement
Please print, complete and fax this form to our office at (904)223-5976.
Phyllis will review, sign and return within 24 hours of receipt. And, Phyllis guarantees her services in writing so you can rest assured your clients will be well taken care of! Thank you for your trust and confidence. |
Referring Agent Information: |
| Agent Name:________________________________________________ |
| Company:_____________________________ Tax ID#_______________ |
| Address:_____________________________________________________ |
| City:________________________ State:_______ Zip:_______________ |
| Work Phone: (___)__________________ Cell: (___)________________ |
| Name:________________________________________________________ |
| Address:______________________________________________________ |
| City:_________________________ State:_______ Zip:_______________ |
| Home Phone: (___)__________________ Work: (___)_______________ |
| Best Time To Contact:_________________________________________ |
| Please Circle: Referral is a Listing Prospect / Buying Prospect |
| Details:_______________________________________________________ |
| _______________________________________________________________ |
Should a sale be closed with the above client within the agreed upon timeframe, it is mutually agreed that the referring office will receive a referral fee in the amount of ______ %
of the listing or selling (please circle) commission received by RE/MAX Coastal Real Estate. |
____________________________________
Referring Agent |
____________________________________
Phyllis Staines |
________________________________
Broker / Manager |
________________________________
Broker / Manager |
________________________________
License # |
________________________________
License # |
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