Agent Registration - The Local Realty

What team are you applying to?
Designated Team*
Alrighty, Now Lets Create Your Account
The username and password provided below will be used to provide you access into our team backoffice and your personalized website!
Username*
Password*
Enter Password Confirm Password

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Great! Let's Get Your Account Setup!
So, What's Your Story?*
- I'm a Newly Licensed Agent/Broker
- I'm Transfering from Another Brokerage
- I'm Not Currently Licensed

How many closings in the last 24 months?
Let Me Save You Some Time with Your Old Broker
It can get hairy when you transfer away from a brokerage. Tell us a little about your old Broker, that way we can make sure you don't have to take Asprin.
What Brokerage are you transfering from?*
Old Brokers Name
First Last
Old Brokers Email
Old Brokers Phone
Any listings you need to transfer?*
- Yes
- No
Any Active Escrows you need to transfer?*
- Yes
- No
Property Addresses of Listings
Tell Us About Your Active Escrows
Property Address Escrow # Escrow Contact
Supporting Transfer Documents
If you have any transfer documents which need to be completed, you can upload them here.
Drop files here or

Great! Now, Let's Complete Some Basic Info
Name*
First Middle Last
Personal Email*
Primary Phone #*
Legal Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
License Type(s)*
What state are you licensed in?*
If you are licensed in multiple states, please select the primary state you will be doing business in.
Real Estate License #*
Licensed Since*
Date Format: MM slash DD slash YYYY
License Expiration Date*
Date Format: MM slash DD slash YYYY
Real Estate License Upload
Drop files here or

Okay, Now Help Me Setup Your Public Profile
Personal Biography*
This is be displayed on your Associate Profile
Date of Birth*
Date Format: MM slash DD slash YYYY

PS - We Like Birthday Cake...especially Ice Cream Cake. YUM!
Profile Photo(s)
Drop files here or

Accepted file types: jpg, gif, png.
Personal Website
Facebook
Google+
Instagram
Linkedin
Pinterest
Skype
Spotify
Twitter
Vimeo
Yahoo
Youtube
What REALTOR Association(s) Will You Be a Member Of?
Primary REALTOR Membership
Other REALTOR Memberships
NOTE: Hold "shift" to select multiple memberships
What MLS(s) Will You Be a Member Of?
MLS Memberships
NOTE: Hold "shift" to select multiple membeships
CRMLS ID
CLAW/The MLS ID
MLSlistings ID
Sandicor ID
Great History! Now Tell Me About that Fabulous Car
Make & Model
License Plate #
Drivers License State
Drivers License #
Drivers License/Identification
Drop files here or
Proof of Insurance
Drop files here or

Perfect, Now Lets Decide How to Get Paid!
Who Shall We Pay Your Compensation to?*
- Myself
- My Corporation
Where shall we send your $$$*
- Direct Deposit
- Mail
- Paypal
Social Security #*
Corporation EIN #*
Corporation Name*
Corporation Articles/Documents
In order to payout to a corporation, we must have a copy of the corporate documents on file.
Drop files here or
Bank Routing #*
Bank Account #*
Mailing Address for your $$$*
Street Address Address Line 2 City State ZIP Code
Paypal Email*

Setup Your Agent Website
Requested Company Subdomain

Example: http://patrickhale.thelocalrealty.com
Hosted Website Options
Do you own a domain but want The Local Realty to host it on our servers? For a small monthly fee you can link your current domain to your free agent website or purchase an additional hosted website.
- Link My Domain to My Agent Website
- Purchase an Additional Hosted Website
Your Website Domain

If you would like to use your Company website as your primary website, please provide your domain above and forward your nameservers to ns1.localstown.com and ns2.localstown.com.
Your 2nd Website Domain

If you would like to use your Company website as your primary website, please provide your domain above and forward your nameservers to ns1.localstown.com and ns2.localstown.com.
Lead Management Options
Ready to start generating online leads by plugging into The Local Realty's Lead Generating Websites and Systems? Add on all of the following systems to setup lead conversion systems.
- CRM, IDX & Website + Access to Leads
- ADD-ON CRM
- ADD-ON Realscout IDX

Now, Let's Integrate and Sync Your Accounts
Integrate with our Apps by providing the usernames for the following accounts.
Dropbox Email
Facebook ID
Gmail Username
NRDS ID
Realscout
Twitter ID
Zillow ZWSID
Zipforms ID

Last Step to Activate Your Account!
Setup Fee
Price: $99.00
Credit Card*

Cardholder Name

Card Details
Billing Address
Street Address City State / Province / Region ZIP / Postal Code Country
Total to Start
$0.00

Property Address	Escrow #	Escrow Contact

What team are you applying to?