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New User Registration

Step 1: Fill Registration Form - Step 2: Pay Membership Fee

Fill out the following form. We will charge your credit card upon receipt. Directory entries will not be added if credit card charge does not clear. We reserve the right to limit total entries for any Specialty/City combination.

* (asterisk) denoted required fields.

The "Legal Stuff"
Agreement: * (check) I have read and accept the membership agreement
Login ID:
Email: *
Password: *
Repeat password: *
Contact Information
First Name: *
Last Name: *
Home Page URL:
Phone: *
Toll Free:
Fax:
Address: *
City/ST or Prov/Zip *
Agent and Agency Information
Agency Name: *
Designations
(e.g. GRI, CRS, Broker)
Member MLS? Yes No
Description: * (Describe Your Services - 75 words or less)
Specialties
[all that apply] 		Residential Commercial Income
Country Farm/Ranch Auction
Timber Buyer's Agent Exclusive Buyer's Agent
Equestrian Water-front
Referral Fee Paid: * percent
Enhancements
Membership Type: Free Enhanced
An Enhanced Entry is $25/year, sorts at the top of the list, and contains more information than a free entry.
Country and City Registrations (One State/Province per Registration)
Country: *
Cities: * Instructions: enter one city name per line. Each city must be in your registered state. If you do business in more than one state, you must register separately in that state with an appropriate agency's address and with a different email address. Six cities are included with your intial entry. Additional cities are sold in blocks of 6 for $6.00, whether you have a free or enhanced base entry.

, dwork@oip.net