Registration Form
Prospective Tenant or Purchaser:  

Address & Telephone Number:
 
 
Property Name(s) to be Shown:

Brief Description of Property Improvements Required:  
 
 

Proposed Use of Premises:
 
 

Prospective Tenant's or Purchaser's signature below indicates:

i) Interest in leasing or purchasing the property designated above. However, this form is for informational purposes only and shall not be construed as an agreement to lease or purchase until a final Lease or Purchase and Sale Agreement acceptable to both Crown West Realty, L.L.C. and Prospective Tenant and/ or Purchaser has been negotiated and executed.

ii) That ______________________ (the "Broker") is the only Broker with whom Prospective Tenant or Purchaser is currently working for lease or purchase of the property designated above.

iii) Acknowledgment that Broker has no authority to bind or make promises or representations on behalf of Crown West Realty, L.L.C.

PROSPECTIVE TENANT OR PURCHASER

Signed:   Date:  
Name:   Title:  


Broker's signature below indicates:

i) Broker's agreement to be bound by the terms of the Crown West Realty, L.L.C.'s Commission Policy, a copy of which policy Broker acknowledges having received.

ii) That Broker is representing _____ - Crown West Realty, L.L.C.; _____ - Prospective Tenant or Purchaser; and, if Crown West Realty, L.L.C., that full disclosure of Broker's agency has been made to Prospective Tenant or Purchaser.

BROKER

Signed:

  Date:  

Name:

  Title:  

 

Crown West Realty, L.L.C.'s signature below indicates its receipt and acceptance of the foregoing Registration and agreement to be bound by the terms of its Commission Policy.

CROWN WEST REALTY, L.L.C.

Signed:

  Date:  

Name:

  Title: