Thank you for your interest in the Elite Sampling Welcome Home™ Sample Gift Box! You
have been invited to receive these gift boxes, free of charge, for your agents to gift to their clients
at their home closings.
There are a limited number of the gift boxes available, so please fill out and return this form (via
email) to us as soon as possible.
We will be sending you these kits the Spring/Summer of 2021. These kits should be
distributed directly to your homebuyers at their closing. Future inclusion in this program
relies upon offices adherence to this distribution protocol.
Please fill this form out electronically and email it to: jbarrett@elitesmg.com
Or
Fax back completed form to: (973) 492-3454
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I wish to receive free Welcome Home Product Sample kits for my office’s agents to distribute to
homebuyers at their closings. There are no costs or fees owed by your office, this program is
100% free to you.
_______ Yes, please sign us up
Primary Office Contact name: _______________________________________________
Contact email: ___________________________________________________________
Contact Phone #: _________________________________________________________
Office Name: ____________________________________________________________
Office address:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Number of agents in your office: ___________
Average number of monthly closings for your office: __________________ per month
Authorization Signature: ___________________________________________________
Print Name: ____________________________________________________________
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