Agent / Broker Participation Form - Carew Rowell Real Estate

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AGENT / BROKER PARTICIPATION FORM
I, ________________________________________________, being a licensed Georgia agent/broker, license number _____________
with the firm of __________________________________________________________________________________ do hereby
register ________________________________________________________________________ to bid for the property located at:
Address: ____________________________________________________________________________________________________
A commission of 3% of the high bid will be paid to the undersigned licensed Agent/Broker who properly registers the winning bidder
and the sale of the property closes per the terms and conditions of the auction. To qualify for a commission, the agent/broker must
first register the prospect by e-mail using this form. This form must be received by Carew Rowell Real Estate before the bidding
period begins.
UNDER NO CIRCUMSTANCES WILL AGENT/BROKER REGISTRATION BE ALLOWED DURING THE BIDDING PERIOD.
A AGENT/BROKER CANNOT ACT AS A PRINCIPAL AND BROKER ON THE SAME TRANSACTION. NO AGENT/BROKER WILL
BE ELIGIBLE TO EARN OR BE PAID A COMMISSION FOR REPRESENTING HIMSELF OR HERSELF.
Carew Rowell Real Estate
Carew F Rowell, IV
Bidder’s Signature
Broker
912.434.1962
Print Bidder’s Name
Bidder’s Address:
Participating Agent/Broker Signature
Print Agent/Broker Name
Bidder’s Phone Number
Agent/Broker Phone Number
Agent Broker Email Address
Bidder’s Email Address:

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