LRA Agent Company Transfer Form

Please use this form to notify the Lakeshore REALTORS® Association when you transfer from one brokerage to another.

Fields marked with an * are required.

First Name *

Last Name *

Current Brokerage or Company Name *

New Brokerage or Company Name *

Email *

Phone *

License Number *

Any Additional Info?

New email address, phone number, home address or other member information

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