Home / MLS Referral Agent Validation Form

MLS Referral Agent Validation Form

step 1. Complete! - Thank you for registering step 2. fill out your information below

Dear Proud MLS Referral Agent,

Please enter the information below to best serve you.

1 - MLS Agent Validation

Please provide your full name and email address to verify that you are a valid MLS member agent.

Name

Verify E-Mail Address

4 - Agency Information

Name of Broker Who is responsible for the agency?

Agency / Office / Business Name if you are a single agent member, please use your full name.

Business Website If you have an existing website for your agency, office or business, please provide a valid URL.

Agency / Company Logo Upload If you have a logo, please upload it here.

Agency, Office or Home Address Please provide a complete mailing address for the agency, office or home address where you conduct business.

Office or Alternative Email

Office Phone Include + country & area code, for example: +1-407-123-1234 for North America, or +506-8811-1234 for Costa Rica.

Cell Phone Include + country & area code, for example: +1-407-123-1234 for North America, or +506-8811-1234 for Costa Rica.

Fax Number Include + country & area code, for example: +1-407-123-1234 for North America, or +506-8811-1234 for Costa Rica.

Skype Name If you would like to be contacted via Skype, please provide your Skype name.

Town or City Please provide the town or city your business operates in.

Agency Description (optional) Please provide a brief description of your business, it's services and history if you like.

In The Event You Use a Corporation

Legal Representative Full name of the legal representative of the company.

Cedula Jurídica of Legal Representative

Legal Address of Company

Accept Code of Ethics By checking this box, you confirm that you will commit yourself to honor and uphold the Costa Rica Real Estate MLS's Code of Ethics.

Click here to read Propertyshelf's "Code of Ethics"

Accept Terms & Conditions By checking this box, you confirm that accept Propertyshelf's Terms & Conditions.

Click here to read Propertyshelf's "Terms & Conditions"

MLS Referral Agent Validation Form

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