Contact Information

   Full Name*  

Phone Number*          Cell Phone Home Phone Office Phone

Address*

Email Address*

Plan Information

What Plan are you interested in*?

Bronze Plan (80/20 Commission Split, No Monthly Fee)

Silver Plan ($50.00 per month, $195.00 per transaction)

Gold Plan ($300.00 per month, Keep 100% of your commission)

Set Up Fee is Waived if you Sign Up During the Month of May

Career Questions

Do you have your license yet*? yes no in process  

If yes, how long have you been a licensed agent in Texas?

What is your license number?

What Real Estate companies have you worked for?

Do you want to work full or part time? Full Time Part Time Not Sure

How did you hear about Quantum Merit Realty? Email Postcard Word of Mouth Other Advertisement

Thank you for providing us with your information! As soon as we receive it, we will start processing it and give you a call when it is complete. As always, if you have any questions, please call Jessica at 972-245-8980 or email her.