2015 Circle of Excellence Individual Resale Application
Name
*
First Name
Middle Name
Last Name
Designations
Sponsoring Firm
*
Please list all additional firms you have been associated with in 2015 and dates of affiliation with each:
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Are you applying by Gross Commission Income (GCI) or Units?
*
GCI
Units
What is your Adjusted GCI for 2015?
*
How many Units did you close in 2015?
*
What award level are you applying for?
*
Bronze ($90,000+ in adjusted GCI or 21+ units)
Silver ($135,000+ in adjusted GCI or 32+ units)
Gold ($180,000+ in adjusted GCI or 42+ units)
Platinum ($280,000+ in adjusted GCI or 70+ units)
Diamond ($450,000+ in adjusted GCI or 93+ units)
Add your photo
*
Spouse/Family Member Waiver Form
REALTOR of the Year Nomination
Distinguished Property Manager of the Year Nomination
New Homes Rookie of the Year Nomination
Payments
Application Fee
$
100.00
Paper Certificate
$
5.00
Bronze Plaque
$
20.00
Silver Plaque
$
25.00
Gold Plaque
$
32.00
Platinum Plaque
$
49.00
Diamond Plaque
$
70.00
Delivery Fee
$
10.00
Gala Ticket
$
80.00
Longevity Award
$
100.00
Outstanding Rookie of the Year Award
$
50.00
Total:
$
0.00
Agent's Signature
*
Broker's Signature
*
Submit
Should be Empty: