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ACCOUNT SETUP

Before placing an order with Got Listed, you must complete the following account set-up information. Read the entire Service Agreement before setting up an account. By Placing any order, you hereby agree to the terms of the Service Agreement.

Name
Agent ID
Company
Company Address (complete)
Email
Phone
Home Address (complete)
Fax or Email used for billing
Assistant Name or N/A
Assistant Phone or N/A
Assistant Email or N/A
Any signs/lockbox need to be picked up?	Yes No
If yes, complete address
Special instructions:
I agree to the terms in the Service Agreement	Yes No
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