RENT ME FLORIDA REFERRAL FORM

Date:

Referring Agent / Referring Brokerage Company

Office address:


Referral Contact Information
Name

Home Phone

Cell Ph

Wk Ph

e-mail address:

Best time to contact customer:

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

RENT ME FLORIDA promises that in the event the referred customer listed above should choose to sell or buy a home, we will refer them back to you for the real estate services.

Rent Me Florida referral rewards fees are as follows:

$25 Tenant Referral Fee
$25 Referral Reward Fee - “Market Ala Cart” Marketing only Pk
$50 Referral Reward Fee - “Let Us Do It” Marketing-Lease Pk
$75 Referral Reward Fee - “Lease and Take Charge” Annual-Full Ser Pk
$75 Referral Reward Fee - “Four Season’s” Seasonal-Full Ser- Pk

RENT ME FLORIDA (Receiving Brokerage Company)
RENT ME FLORIDA Broker - David W. Basham

Referring Brokerage Company


Brokerage Company Tax ID#

(Required-Must Include signed W-9 by fax or mail)

Referring Broker Name