Batten Benefit Home Sign Order Form

Name *

First Name Last Name

Agency *

E-mail *

Contact Number *

Area Code Phone Number

Your signs will be mailed or delivered, but Rare Sisters will not be responsible for placing the signs in yards. Please provide an address for where you would like the signs to be recieved.

Mailing Address (for sign delivery) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How many signs would you like? *

Delivery Instructions? Questions? Things we should know?

I understand that by partnering with Rare Sisters as a realtor, I will be provided with a yard sign for my listings that advertises the listing as a Rare Sisters Batten Benefit Home. In return I will donate a portion of the proceeds from the sale of that home to the Rare Sisters fund through the Beyond Batten Disease Foundation. A minimum of .10% per sale is recommended. I will also advise my clients on the purpose of the sign and ask them if they would be willing to match or donate a portion of the sale as well. All donations made to the Rare Sisters fund through the Beyond Batten Disease Foundation are 100% tax deductible. I may use the signage and fundraising for any and all of my advertising and promotions. Rare Sisters logos can be provided upon request for use in other media. *

I agree