Referral Agent Portal New Referral Enter your customer into the Coldwell Banker sales network. Customer Information Is your customer buying, selling, or both? Buying Selling Both * First Name * Last Name Email * Phone Street City State Zip Buying Details * Areas of Interest Price Range Low Price Range High # of Bedrooms # of Bathrooms * Property Type Single Family Condo/Townhouse Vacant Land Co-Op Multi-Family Mobile Home Select all that apply Selling Details Same address as above Yes No * Street * City * State * Zip Your Information * First Name MI * Last Name * Email * Phone * Street * City * State * Zip * License State Agent Have you requested an agent? Yes No Have you contacted the agent? Yes No Have you provided the agent info about your referred customer? Yes No First Name Last Name Company Email Mobile Phone Office Phone City State Zip I would like to be contacted by the Assigned Agent prior to them contacting my customer. Yes No
Referral Agent Portal