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What areas do you cover?
Submit below your Top 5 zip codes and Additional Areas
1st Zip Code:
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2nd Zip Code:
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3rd Zip Code:
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4th Zip Code:
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Your answer
5th Zip Code:
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Your answer
Additional Coverage (Counties or Zips) - List All: (comma separated)
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Name all MLSs you are a member of:
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In what State(s) are you licensed?
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Contact Information:
Your Contact and the Pay To: Brokerage / Branch Office Contact
Your Full Name:
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Your Work: Address, City, State, Zip
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Your Text capable mobile phone number
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Your email:
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Your first year licensed?
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Your license number?
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Are you an individual broker or work as a team?
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Within the last 5 years, what was your highest transaction count in a single year?
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Name of Brokerage/Branch Office:
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Brokerage/Branch Office address & phone, if different than previously given:
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Your agent Zillow public profile URL:
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Want to tell us more? Feel free to comment further here:
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