Realtor’s Information - AMCI - All Mortgage Center Inc South Miami FL

WANT TO BECOME OUR INTERNATIONAL REALTOR'S AFFILIATE NETWORK PARTNERSHIP?

www.AMCIRealtors.com/Join

Want Referrals? Realtors and Brokers Wanted

The undersigned agrees that the information given, is to the best of his / her knowledge true, at the same time agrees that this information was taken for the sole purpose of establishing a business relationship with AMCI - Realtors Referral Services, Inc.,,, that in the event that a listing or a sale is referred to / thru you/your employing Real Estate Broker, a referral commission fee of at least 25% or as indicated on your customer referral profile is expected from your company due to AMCI - Realtors Referral Services, Inc., at the time of a closed transaction.

AMCI - Realtors Referral Services, Inc. , is a Real Estate Company dully licensed in the State of Florida, won't compete with Realtors, the whole purpose is to act as a referral company throughout the United States and Canada and only conducts business within the law in different states of the union.

Because of our good will, we only wish to work with the best dedicated, experienced and ethical licensed professionals. Most of the time the perspective customers will be pre-approved or pre-qualified thru our parent company AMCI - Mortgage All Mortgage Center Inc., so we wish to have full confidentiatelly and we expect the best possible service that there exist for each particular situation.

Signature:______________________ Date:__________________

Name:__________________________ Contact Phone #:____________________

For AMCI's Mortgage acknowledgment, please sign this form and FAX to 305-663-1664 (Att: Main Broker). If you have any questions you may reach us at 305-663-1690

WELCOME TO AMCI REFERRAL SERVICES

REALTOR'S INFORMATION FORM
In order to participate in a AMCI's FREE LEAD Program, please
complete this form to the best of your knowledge. To contact us for
review, send this to us by clicking "Submit".
If you want to participate immediately, print it
and fax to the number below.

Personal Information

*Name:
*Email:
Phone:
*Cell Phone:
Office Phone:
Private Fax :
Other:
Home Address:
Referred to AMCI by:

Present Company

Name:
Years as Employee:
Main Broker:
Office Phone:
Office Fax:
Office Address:

Experience

Years in the Business:
Areas you are comfortably cover:
Types of Referral Preferred:

Estimated No Sales made last 12 Months

Townhouses:
Average Prices $:
SFR:
Average Prices $:
Condos:
Average Prices $:
Warehouses:
Average Prices $:
Apartments:
Average Prices $:
Gas Stations:
Average Prices $:
Land:
Average Prices $:
Other:
Average Prices $:

Estimated No. Listings taken last 12 Months

Townhouses:
Average Prices $:
SFR:
Average Prices $:
Condos:
Average Prices $:
Warehouses:
Average Prices $:
Gas Stations:
Average Prices $:
Land:
Average Prices $:
Other:
Average Prices $:

Note: Fields with an * are required