referral

Affiliate Agent Registration form

refferal form

Broker Company Name

Agents First & Last Name

Broker Company Address

State Licensed In

Broker First & Last Name

Agent License Number

Broker License Number

Agent Email

Broker Email

Agent Phone Number

Broker Phone Number

* Upload w9 file

Maximum file size: 516MB

* Upload mandatory may be emailed to our company

***DISCLAIMER By registering, I confirm that I hold a valid real estate license as provided here and that my brokerage is also licensed and active. I understand that commission is earned only by licensed real estate agents and contingent on my referred client purchase of a LIVV Home. If multiple registrations occur by the client through different agents and /or brokers, the first client registration is deemed to be the procuring cause and will earn the commission. Final Approval to be sent by email.

I Agree

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refferal form mobile