Broker and Advisor Registration

Please complete the information below. Fields noted with an "*" are required.

Name (First, M.I., Last):
Title*:
Company*:
Address (Line 1):*
Address (Line 2):
City, ST, ZIP:*
Phone*/Ext.:
Fax:
E-mail:*
License status:*

Please indicate your specialty area(s):
	Single-Tenant Net Lease (NN/NNN)
	Multi-Tenant Retail
	Multi-Tenant Office
	Industrial
	Apartments
	Commercial Land
	Residential Homes / Condos (Realtor)

Other Information
Other Comments / Requirements:
How did you learn about us?*: