EmailMe Form - NRRB Memebership 2023

Your contact info:

Name *

Email *

Mobile Number *

### - ### - ####

Web Site

Facebook (if applicable)

Agency Name *

Team Name

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Role: *

Years as a full time agent: *

How many residential units you personally have sold in last 12 months? *

Designations

List any awards, achievements, accolades you are most proud of: *

List the cities and state(s) you primarily service: *

List only cities you have 5+ sales within the past year

Your Bio:

Share any additional information you want us to know about you or your real estate business:

Website where we can view your online reviews:

Has your license ever been suspended? *

Yes

No

If yes, why?

Please enter the image verification below and click submit.