Real Estate Broker Info Registration Form

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Real Estate Broker Info Registration Form Powered By Docstoc
					                                         Wilson Auctioneers Inc.
                             929 Airport Road, Hot Springs, Arkansas 71913
                             1-877-BID2BUY 501-624-1825 Fax 501-624-3473
                                      info@wilsonauctioneers.com

                           BUYER BROKER REGISTRATION FORM
Don't forget - this form must be signed and mailed, emailed, or faxed to Wilson Auctioneers, Inc. at least 48
hours prior to the auction. All information fields must be completed or your registration may be rejected.

AUCTION PROPERTY INFORMATION:
Auction Date: ________________________________________
Reference #: _________________________ (see ID=# in web address line at auction calendar)

Auction Address / Location: ______________________________________________________
Auction City: __________________________________ State: __________________________
BROKER INFORMATION:
Principal Broker Name: ______________________________ Federal ID #: ________________

Agent Name: _________________________________________________________________
Company Name: ______________________________________________________________
Address: _____________________________________________________________________
City: ___________________________________ State: ______________ Zip: ______________
Phone: _______________________________ Fax: ___________________________________
Email: _______________________________________________________________________
BUYER INFORMATION:
Name: _______________________________________________________________________
Address: _____________________________________________________________________
City: ___________________________________ State: ______________ Zip: ______________

I, _________________________________, Real Estate Broker/Agent, with_______________________________,

Real Estate Agency, agree to represent ________________________________________________, as my Client.

I agree to be present at the Auction with my Client & will represent them at that time. I acknowledge this form must
be returned to Wilson Auctioneers, Inc. at least 48 hours prior to the Auction, signed and dated by both my Client
and myself. Wilson Auctioneers, Inc. will accept only one Client per Auction from any one Real Estate Agency.

____________________________________________________________________________________________
Real Estate Broker/Agent                                                      Date

____________________________________________________________________________________________
Client                                                                        Date


Notice: No broker will be recognized for a prospect who has previously contacted Seller or Wilson Auctioneers, Inc.
or has been previously contacted by Seller or Wilson Auctioneers, Inc. Wilson Auctioneers, Inc. reserves the right
to reject any client who is presently on our customer / client mail list.

				
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Description: Real Estate Broker Info Registration Form document sample