Regformkekilohana

Page 1

Hawaii Americana Realty ‘Ke Keilohana’ Brokers Registration Form

FIRST NAME

Mr.

Mrs.

Ms.

LAST NAME SPOUSE / PARTNER NAME ADDRESS CITY STATE

ZIP CODE

BEST PHONE NUMBER EMAIL Price Range: $300k - $500k

$500k - $700k

Number of Bedrooms: One

Two

$700k+

Three

Referring Broker is Hawaii Americana Realty, and the person signed below is a registered client of Broker. To receive 30% Buyers Commission Rebate, closing must occur with Hawaii Americana Realty as cooperating broker on the transaction.

“I am not currently represented by another real estate broker or agent” CLIENT SIGNITURE DATE


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.