Real Estate Professional Information Submission Form

Name:*

Company (if applicable):

Real Estate Agent License #:*

License Expiration Date*

Merchants Registration*

(Registro de Comerciante)

E-mail:*

Telephone Number:*

Phone

Regions to offer services (Please choose all that apply):*

Select

Required Documents [Upload Fields]:*

1) Copy of Real Estate Agents License*

2) Good Standing Certification [Not Required to Submit]

3) Commercial Registry Certification (Certificación Registro de Comerciante) (If applicable)

Drag and drop files here or

By clicking “Submit” you acknowledge you are a licensed real estate professional who will be under consideration to be listed for availability to R3 Relocation applicants for the regions indicated above.

Send me a copy of my responses