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contact US - Preferred Broker Network Interest Form

This form is intended to be completed by an Owner/Broker, Managing or Executive broker or company designated Relocation Director.

Please complete the form below and a SIRVA representative will contact you.

If you prefer to speak with a SIRVA representative immediately please contact your local SIRVA Office.

*Franchise Name:
*Brokerage Name:
Main Office Information
*Address:
*City:
*State:
*Country:
*Postal Code:
*Main Phone Number:
*Web Site:
 
Area of Coverage (ex, Chicago, IL Metro):
Number of offices:
Market Share (%):
Ranking (# of # brokers):
Do you have an established relocation department?
Is your brokerage a member of the Employee Relocation Council?
Number of full time relocation staff:
Number of relocation trained real estate agents:
*Relocation Contact Name:
Relocation Contact Title:
*Relocation Contact Direct Phone:
*Relocation Contact Email:

Does your brokerage provide any of the following services?
Does your organization qualify under any MWBE (Minority/ Woman Owned Business Enterprise) status?
Has your brokerage worked with SIRVA Relocation in the past?
How many transactions have you closed with SIRVA Relocation in the past 12 months?

Why do you want to be considered a preferred Broker for SIRVA Relocation?




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