
	AGENT REGISTRATION AGENT UPDATE FIND FLAT RATE MLS AGENT ABOUT CONTACT

New Agent Registration

1. Personal Information

A. ACCOUNT LOGIN INFO
Username: *
Password: *
Re-enter Password:*	Passwords may be a combo of 4-12 numbers and letters

B. PERSONAL INFO
* First Name:
Middle Initial:
* Last Name:
Phone:
Fax:
Email:
*License Number:

2. Brokerage Info

Photo:
Website:	(Example: PXUSA.net)
Basic Rates:
Basic Services:
Premium Rates:
Premium Services:
MLS Organization:
Qualifications:

3. Services

*Name:
*Phone:
Fax:
*Email:
* Address:
* City:
* State:
* Zip Code:
*Metro Area:	Select your nearest metro area in your state