New Dr Firm / Office Form
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1NEW DR FIRM / OFFICE FORM
Your New Firm must be reflected in TREC and ALL information must be completed
DESIGNATED REALTOR’S INFORMATION:
Name: __________________________________________
TREC License # _______________________________
Home Address: _____________________________________________________________________________
City: _________________________________________ State: __________ Zip: ________________________
Home Phone: _________________________________ Cell Phone: ___________________________________
Email Address: _____________________________________________________________________________
PREVIOUS FIRM / OFFICE INFORMATION:
Previous FIRM Name: _____________________________________________________
NEW FIRM / OFFICE INFORMATION:
NEW FIRM Name: ______________________________________________________________________________
New Office Address: ____________________________________________________________________________
City: _________________________________________ State: __________ Zip: ___________________________
NEW Office Phone: __________________________________ New Office Fax: _____________________________
Do you prefer your mailing address be: Home address: ☐
Office address: ☐
Website: ______________________________________________________________________________________
There is a $25 New DR Office Fee
PAYMENT INFORMATION:
and it must be submitted with completed form.
Checks should be made payable to WCREALTORS
Credit Card Number: _____________________________________________________________________________
Expiration Date: _____________________________________________
Card Type: Visa ☐
MasterCard ☐
AMEX ☐
Discover ☐
You may call us with payment information if you prefer
You may email this form to:
or mail / fax it using the information below
OFFICE USE ONLY
Date Received: ________________ Date Processed: _______________ Check # __________
Processors Signature: _____________________________
123 E. Old Settlers Blvd. | Round Rock, TX 78664 | Phone: 512.255.6211 Fax: 512.255.0666
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