RENT ME FLORIDA REFERRAL FORM

RENT ME FLORIDA's promise...

"We promise all sales associates that any rental customer referred to us will be referred back to that agent should the customer choose to buy or sell a home in the future."

RENT ME FLORIDA pays a referral reward fee of $50 for each referral; paid to broker, after lease is signed by all parties, on the 15th of the following month .

*Required Fields

* Referring Agent: Please enter your name.

* Referring Agent Email: Please enter a valid email address.

* Referring Company: Please enter your company name.

* Office address: Please enter your office address.

* Office Phone: Please enter your office phone. * Office Fax: Please enter your office fax number.

* Agent Contact Phone: Please enter contact phone number.

* Referring Broker Name:

* Broker Tax Id (If on file, type on file): Please enter your Broker Tax Id - or type on File.

Referral Contact Information
Name:

Home Phone: Cell P:

Wk Ph:

E-mail address:

Best time to contact customer:

*Referring: (Check one) Owner Tenant

Please tell us what type of property your referral customer wishes to rent or wishes to have us rent for them:

What area(s) is the client looking for or what area home is the located in:

RENT ME FLORIDA Sales Agent (If appl.):

RENT ME FLORIDA Broker - Connie Nowell