RENT ME FLORIDA REFERRAL FORM

*Required Fields

* Referring Agent:

* Referring Company:

* Office address:

* Office Phone: * Office Fax:

* Referring Broker Name:

* Broker Tax Id (If on file, 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: No Preference Janeene Jaye Abde Connie Nowell Kathy Clarius Tim Marton Todd Lewis

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:

RENT ME FLORIDA pays a referral reward fee of $50 for each referral; paid to broker on the 15th of the following month.

RENT ME FLORIDA (Receiving Brokerage Company)
RENT ME FLORIDA Broker - Paula Brill