Referral Agreement
Please fill in all fields. Referral Agent Group Associate (RAG Associate).
RAG Associate FULL NAME *
First, Last
Your answer
Contact Phone Number *
Your answer
Email Address *
Your answer
Receiving Agent NAME *
First, Last
Your answer
Receiving Agent Contact Number *
Your answer
Receiving Agent Email Address *
Your answer
Receiving Agent OFFICE
Your answer
Receiving Agent BROKER/MANAGER
Your answer
Receiving Agent OFFICE NUMBER
Your answer
Client NAME *
First, Last
Your answer
Is Client BUYER or SELLER? *
Required
Client PHONE NUMBER *
Your answer
Client EMAIL *
Your answer
Client ADDRESS
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Upon closing, the Receiving Agent hereby agrees to pay Referral Agent Group a 25% referral fee based on the total commission received for the above Client. *
Check one below.
Required
Todays Date *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy