Submit Outgoing Referral

SoCal Relocation - Register Customer with Relocation

Submit a Referral
Register an Incoming Customer

Thank you for the referral. We will make every effort to quickly place your referral. Upon placement, we will send you a referral summary email which will include the destination broker's name, agent name and contact information so you may proactively stay in the loop.

*This is:

Member Number:

*Customer Name:

Your Relation to Customer:

*Phone Numbers:

Cell (primary):

Cell Country:

Cell (secondary):

Cell (secondary) Country:

*Primary Email:

Secondary Email:

Did you ask customer permission?:

* Is this a renter referral? If yes, check mark "Buying Referral" and provide the rental criteria.

*Type of Referral:

*Property Address Country:

*Property Address:

*Property City:

*Property State / Province:

*Property Zip / Postal Code:

Currently Listed?:

Must Sell By:

Type Of Home:

Time Frame to Move (i.e., immediately, 3 months, 6 months, etc.):

*Primary Destination (City, State):

Alternate Destination:

Price Range:

Familiar w/Area?:

Reason for Relocation:

HOUSING REQUIREMENTS

Style/Type Desired:

Additional Comments:

*Your Name:

*By submitting this referral, you acknowledge and agree to receiving 20% of the referred side compensation, upon closing. This agreement replaces and takes precedence over any previous agreement between you (as the referring agent) and the company pertaining to payments on placing referrals.

For questions regarding your referral or the process, please contact (949) 535-1273.

DO NOT USE this Register Customer Tab when submitting a new Outgoing (B2B) referral or Agent/Self Generated Referral (AGR). This tab is strictly for Registering Customers. Please use the other tab (Submit a Referral) to ensure that your new referral is received by your Relocation Dept.

Note: It is very important that you enter as much information as you can, to ensure we can find your customer. Misspelled names, mailing address, or email addresses increase the likelihood we would not be able to find your customer. In addition, for example, if you supply an email address, but not a phone number, and we receive the referral without an email address, but with a phone number, we may not be able to match the customer.

Customer Name:

*First Name:

*Last Name:

Secondary First Name:

Secondary Last Name:

*Employer:

Member Number:

Service Type:

*Phone Numbers:

Primary Cell #:

Primary Cell Country:

Secondary Cell #:

Secondary Cell Country:

Email:

Primary Email:

Secondary Email:

*Your Name:

Email a Confirmation to Me

Comments: