Registration Form

Name: Name required.
Address:
City:
State:
Phone: RequiredInvalid format. (please include area code)
Email Address: Email required.Invalid format.
 
Tour Date I am Interested in:
 
Tour Routes:
  Fort Myers
  Cape Coral
  Lehigh Acres
  All
 
Primary Interest:
  Investment
  Primary Residence
  Both
 
Type of Investment:
  Home
  Condo
  Townhome
  Investment Property (Duplex, Tri-Plex and more)
 
Loan Approval:
  Currently have Pre-Qualified Letter
  I want Free Loan Approval (Checking this box gives us authorization to have a loan representative contact you)
 
Interested in Viewing Homes in Value:
  0-100k
  100k-200k
  200k-300k
  300k+
 
Number of seats I would like to reserve (max 2 per   registration)
 
  I do not want to reserve a seat at this time, but I would like a real estate agent to contact me
   
How did you hear about us?
  TV
  Radio
  Newspaper
  Saw the bus
  Magazine
  Billboard
  Referral
  Other
 
  • I acknowledge that by submitting this Buyer Registration, As a potential buyer, I grant Marc Joseph Realty, Inc. (Broker), the exclusive right to assist me in the acquisition of available properties that I have been introduced to while on the Foreclosure Tour Bus or by Marc Joseph Realty, Inc. agent.
  • As a potential buyer, I authorize the broker to operate as a Transaction Broker for purposes pertaining to the purchase of any property.
  • I, hereby, certify that I am not a Licensed Real Estate Agent, Loan Originator or represented by a real estate agent.

Buyers shall indemnify and hold harmless Marc Joseph Realty, Inc. and all agents from any and all claims, damages, suits, and expenses caused by or arising out of the acts, omissions, errors or negligence of Marc Joseph Realty, Inc. and or agents there of.

 
I have read and understand the above information Please make a selection. *
 
The broker has professional skills and knowledge in assisting you with negotiation and sales contracts. Traditionally, the broker is compensated by the seller. This compensation does not compromise the broker's duties to the buyer. The broker adheres to the principals expressed in the Fair Housing Act. The broker does not warrant or guarantee products or services provided by any Third Party whom the broker, at the buyer's request, refers or recommends to the buyer in connection with any property acquisition.