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    All fields marked with * are mandatory

    Company Information

    Brokerage Name *
    Website *
    Rate Webpage *
    Twitter User *
    Year Firm Launched *
    Deals in 12 Months *
    Provinces Licensed In *
    How much of your business is internet-driven? *
    How many agents in your firm will handle leads from RateSpy *
    Which of these has your company advertised on before?

    Your Information

    First Name *
    Last Name *
    Direct Phone *
    Email *
    Started Brokering *
    Are you the broker of record?
    Are you the firm's primary contact?

    Broker of Record Agreement

    Full Name *
    Email *
    Digital Signature *
    Have you or your firm ever been refused or lost a mortgage
    licence,been disciplined by any regulator, charged criminally,
    made errors & omissions insurance claim or been sued by any
    client?
    I have my broker of record's permission to advertise rates on this website.
    I agree to all of RateSpy.com’s Term of Use. I agree that I (or my
    firm if I am the broker of record) will respond to all initial
    inquiries from RateSpy-referred clients within 8 business hours.