PRINT, COMPLETE, SIGN & MAIL TO THE ADDRESS BELOW

Your Real Estate Resource
  
Phone: (407) 574-5565




CASH REWARD PROGRAM REGISTRATION FORM

Name Home Phone (     )
Mailing Address Work Phone (     )
City                            State            Zip Cell / Pager (     )
Social Security # Email Address

ACKNOWLEDGEMENTS

I hereby acknowledge and agree that:

I am not an employee of Your Real Estate Resource. Therefore, I am responsible for any income tax liability and for notifying the IRS of my earnings.

Either, Your Real Estate Resource or I may choose to terminate my participation in the CASH REWARDS PROGRAM at any time and for any reason.

If I earn $600 or more during any calendar year, Your Real Estate Resource will issue a 1099 IRS Form for tax purposes as required by law. Further, I will cooperate fully with the preparation of this form by supplying my Social Security Number to Your Real Estate Resource as indicated above.


Signature
Date