Registration Form

Step 1 of 2 - Transfer of Employee

First Name *

Middle Name

Last Name *

Business Name *

Do you use a business name different than your legal name?

RECO Number *

TREB Number

Email *

Phone Number *

Cell Phone Number

Address

Street Address *

City *

State *

Country *

Postal Code *

Do you have a different Service Address than the one entered above? *

Yes

New Address For Service

An Address for Service is a legislative requirement whereby a registered individual can be served documents in person.
(Must be a street address not just a Post Office Box. This address will also be used for mailing purposes.)

Registration Form

Step 2 of 2 - Current Brokerage Information

Current Brokerage Name *

Current Brokerage Phone Number *

Current Brokerage Address *

Please include number, street address, city, province, and postal code

Effective Termination Date *

Did you initiate the termination with your previous Employer?

Yes

Termination Letter

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

By checking this box, I consent to receive non-marketing messages from [BUSINESS NAME]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP or click UNSUBSCRIBE to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new service updates among others from [BUSINESS NAME] at the phone number and email provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.