Registration Page

Agent Type*

First Name*

Last Name*

Email* (Provide Valid Email)

Sponsor ID OR Sponsor Email ID*
(If you don’t have a sponsor, you can leave this blank. You will be registered as an Individual Agent.)

Phone No* (10 Digit Number)

Country*

Province*

RE License #

License Expiration Date

Street Address*

City

Postal Code

Password*

Retype Password

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A capital (uppercase) letter

A number

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Minimum 8 characters and Maximum 15 character

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