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SEEKING AFFILIATION WITH RE?

GENERAL INFORMATION

Type of Affiliation

Name *

First

Last

Phone *

Email *

Company Name PER W-9 *

Ownership *

Sole Proprietorship
LLC
Corporation
LP

Company Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Do you hold any ownership interest in the company represented herein? *

Do you have a conflict of interest for the work in which you are applying? *

INSURANCE, LICENSING & CERTIFICATIONS

NAID *

NAID EXPIRATION DATE *

E&O INSURANCE CARRIER *

E&O EXPIRATION DATE *

PROOF OF INSURANCE *

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W-9 *

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REAL ESTATE LICENSE *

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LETTER OF RECOMMENDATION *

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BUSINESS LICENSE

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DIVERSITY & INCLUSION

Designation (Check All Applicable) *

Small Business
Women Owned Small Business
Veteran Owned Small Business
Hubzone Small Business
8a Certifed
Other (PLEASE SPECIFY)

Indicate/Explain (OTHER) Certification Selection Above *

Attach Certification - US Small Business Administration (SBA)

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CERTIFICATION(S) - ANY/OTHER AVAILABALE

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DETAILS & BACKGROUND

WHAT AFFILATE/VENDORE SERVICES WILL YOU PROVIDE? *

How many years of direct experience do you possess? *

LESS THAN A YEAR
LESS THAN THREE YEARS
3 - 5 YEARS EXPERIENCE
5+ YEARS EXPERIENCE

What is your unique value proposition? *

Upload Your Resume *

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CONNECT

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AFFILIATE ACCESS

CONTACT US

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1 (844) 247-KEYS

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INFO@RE-GLOBAL.com

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8:00AM - 5:30PM EST
(M - F)

LOCATIONS

Corporate Headquarters
6434 Lawrenceville Hwy
Tucker, GA 30084

Southeast Regional Operations
100 Jefferson St. S.
Ste. 200
Huntsville, AL 35810

Midwest Regional Operations
101 Park Ave
Ste. 1300
Oklahoma City, OK 73102

Management
Training & Development
Facility Support
Real Estate

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SEEKING AFFILIATION WITH RE?

GENERAL INFORMATION

INSURANCE, LICENSING & CERTIFICATIONS

DIVERSITY & INCLUSION

DETAILS & BACKGROUND

CONNECT

LOGIN

AFFILIATE ACCESS

CONTACT US

1 (844) 247-KEYS

INFO@RE-GLOBAL.com

8:00AM - 5:30PM EST (M - F)

LOCATIONS

8:00AM - 5:30PM EST
(M - F)