Member Change Form

First Name *

Last Name *

NRDS ID *

If you do not have your NRDS ID, please input either your DRE License Number or your WGSVR Member Number

Email Address *

Current/Old Information

Name	Address	Phone	Fax	Website Address	E-Mail Address	Member Number or DRE License Number
							Del

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New Agent Information

If you wish to change your personal information as an agent or broker, please fill out the section(s) you need to change, below.

Name	Address	Home Phone	Cell phone	Website Address	E-mail Address
						Del

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New Office Information

If you wish to change information pertaining to your office, please fill out the section(s) below that need to be updated. Please note, ONLY the broker can make changes to the office, and if updating a new address, the information will need to be reflected in the DRE before we can process the change.

Name	Address	Phone	Fax	Website Address	E-Mail Address
						Del

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Preferred Mailing Address

Office

Home

Listing changes

If you have any listings that need changes, please provide the listing number. Future listings will show the updated info. Note: This do not apply to listing transfer from office to office. Please use the "Listing Transfer Form" for this request instead.