REALTOR® Transfer/Change Broker Form
This form is intended for existing member use only. If you are a new member and would like to apply for REALTOR® membership, please complete our online REALTOR® Application.

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Today's Date
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DD
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Full Name as it appears on your Georgia Real Estate License
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Real Estate License #: *
Cell #: *
Email Address: *
Website Address:
The following applies to this member: *
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