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ERA Member Broker Thank you for making an inquiry at ERA.com Please complete the form below or you may simply call Paul Novick at (973) 407-2727 or (973) 407-2709 (in the United States) or fax the information to (973) 407-2327. If you are interested in an international ERA franchise (outside of the United States), please send an email to Tiago.Pereira@Realogy.com or call Tiago directly at 973-407-7438. Red text indicates a required field. First Name: Last Name: Company: Email Address: Mobile Phone: Street Address: City: State/Province: Select a State: Alaska Alabama Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming --------- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Country: Select a Country: United States Austria Belgium Bahamas Canada Cayman Brac Cayman Islands China Cyprus Egypt Finland France Germany Great Britain Greater Middle East Greece Hong Kong Indonesia Ireland Israel Japan Korea Little Cayman Luxembourg Netherlands Oman Philippines Portugal Puerto Rico Saudi Arabia Singapore South Africa Spain Sweden Switzerland Taiwan Thailand Turks & Caicos Isl. Vietnam Zip/Postal Code: Are you currently Part of a Franchise?: Yes No If Yes, which Franchise?: Best Time to Call: Before 12pm 12pm-5pm After 5pm How Long in Business?: Current Status: Owner Broker Sales Associate Broker/Owner None of the Above Are you interested in Minority Opportunities?: NO YES Comments: When Considering Franchise Solution?: 1-3 Months 4-6 Months 6 months - 1 year 1 year plus Considering Sale of Brokerage?: Yes No Necessary capital to secure a franchise?: Yes No

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