Team – United Agent Services

What is your First Name?*

What is your Last Name?*

What are the last four digits (XXX-XX-####) of your Social Security Number?*

Market Center*

MyKW Username. If you do not know, please enter a "dash" (-)*

Please note, not including your username can result in a delayed setup.

Current MyKW Password. If you do not know, please enter a "dash" (-)*

Please note, not including your password can result in a delayed setup.

Preferred MyKW Password:

Will this be a two-person team? (e.g. Husband and Wife or equal partners)

Business Email Address (For KW.com Email Please Put "Use KW.com")*

Personal Email To Send Setup Info To:*

What is the address of your Market Center?*

Street Address City State / Province / Region ZIP / Postal Code

What is the name of the Team you are joining OR forming?*

Team Website:*

Cell Phone*

Cell Phone Provider*

You can use this page to look up your provider, if you don't know.

Facebook URL (i.e. facebook.com/kellerwilliamsrealty):

Twitter User Name (i.e. KWRI):

Blog URL (i.e. http://blog.kw.com):

Designations (ABR, GRI, CRS):

Specialties (Residential, Luxury Homes, New Constructions, First Time Buyers, etc):

Biography (This Bio Will Be Copied and Pasted, Please Put What You Would Like Displayed):

Team Name (If You Are On A Team Or Have A Team):

Languages Outside of English Spoken:

Slogan:

Cities Served:

KW Email Address (i.e.: ____________@kw.com)*

Please Give 3 Options

KW Website Address (i.e. ______________.kwrealty.com)*

Please Give 3 Options. This will be used as a back up account only.

Do You Have a Previous DotLoop Account? Please provide the login and password if you do. Please note we cannot transfer previous loops. We can only set up a new profile on your DotLoop account for your Market Center.

MLS ID:

NRDS ID (If applicable):

MLS Board:

What Is Your Real Estate Experience?

Additional Comments

Headshot:

Max. file size: 64 MB.

Logo:

Max. file size: 64 MB.

Name

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