1.Personal Information

First Name

Last Name

Phone

Birth Date

Street Address

City

County

State

ZIP Code

Are you a veteran or active military member?

YesNo

2.Choose Your Plan

Select Your Plan

Choose the plan that best fits your business needs.

3.Professional Background

Operating State

Currently only available in Florida

Primary Market Area

Current/Previous Brokerage

Transactions in Past 12 Months

Sales

Leases

Preferred Payment Method

How would you like to receive your commission payments?

4.MLS Information

MLS Membership

Yes, I'm a member of a local REALTOR® associationNo, I'm not currently a member

State of Licensure

MLS Name

MLS ID

5.License Information

License Type

License Number

License Expiration

License Document

Upload a copy of your real estate license or renewal receipt (PDF, JPG, PNG).

Additional Notes (Optional)

Certification

By submitting this application, I confirm that all information provided is true and accurate to the best of my knowledge. I understand this information is required for licensing and compliance purposes, and I agree to notify Birch & Co. Brokerage immediately of any changes. I understand that providing false information may result in denial of my application or termination of my affiliation.

I agree to the above attestation and certify that all information provided is true and accurate

Please agree to the certification above to submit your application.

Already have an account? Sign in here

Join Birch & Co. Brokerage

Join Birch & Co. Brokerage