Referral – MLS HAITI

DISCLAIMER: Neither the National Association of REALTORS nor its International REALTOR Member Program

enters into mediation or arbitration processes.

Date of Referral Agreement

Month

Day

Year

Prefix

First Name *

Middle Name

Last Name *

COMPANY *

Business Address *

Business City *

Business State/Province *

ZIP / Postal Code *

Company Country *

Email Address *

Phone *0 / 10

Website

Attachment 1

CLIENT WORKSHEET

Client Referred

Name *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *0 / 10

Email Address *

Client Particulars

Property Needs *0 / 100

Is this property for the client's personal use, or is it intended as an investment? *0 / 100

Does this client own other real property in the destination country? *0 / 100

Referring Broker/Agent Prior Experience with this client *0 / 100

Comments *0 / 100

REALTOR