Realtor Intake

Please answer each of the sections on the form. All fields are required. Once you submit the form, a contact will be created.

If you have any issues or questions about the application, please reach out to Bailey at bwagstaff@primeres.com

Please fill out the information below:

Full Name

Brokerage Name

Phone *

Email *

Broker Owner & Realtors Position

What states do you do business in? *

Do they hold any green or sustainability designations?

yes

Any notes for the internal team to be aware of?

How did you hear about us?