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Broker of Record Signature Date Application fees and MLS fees are non-refundable Fees can be charged to o Visa o MasterCard o Discover o AmEx Credit Card Amount to be chargedExpiration date 2013 MLS Agent App Nov212013 Quarterly fees Scout Fee associations. I agree to attend a MLS Orientation within 60 days of access to avoid termination of all MLS privileges. I will observe these rules with such amendments as may be made hereafter as long as I remain a Subscriber. Signature Date Agent...

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858 715 8040 is a form used for reporting certain information to the relevant authority.

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