Agent Transfer/Reactivation Form

Instructions

Complete this form when transferring from one firm to another or when requesting reactivation of membership.

Select Your Option(s)

MLS Transfer $100.00 One-Time Fee

Reactivate Membership after office transfer $100.00 One-Time Fee

Select if your membership was deactivated due to:

Leaving a firm within the last year and you have transferred to a new firm, OR
Your membership was made inactivate due to past due invoices, which have since been paid in full.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOffice Name

Please select a valid membership option and fee item if exist