Buyer and Broker Registration Form

Buyer Information:

Full Name:

Email Address:

Phone Number:

Address:

City:

State/Province:

ZIP/Postal Code:

Preferred Property Location:

Bayview- Monte Rojo
Oceanview - El Valle

Desired Investment Type (e.g., house, condo, land):

Any Specific Property Features/requirements:

Time to decision:

Can we contact the buyer directly?
YESNO

Broker Information:

Brokerage Name:

Broker's Full Name:

Broker's License Number:

Email Address:

Phone Number:

City:

State/Province:

ZIP/Postal Code:

Consent:

By completing this registration form, the broker (and acknowledged buyer) agree to the following terms:

• The buyer acknowledges that the broker will act as their representative in real estate transactions.

• The buyer agrees to work exclusively with the broker or Samana Group representative and grants them the authority to represent their interests.

• The broker agrees to provide professional services and assist the buyer in finding suitable properties based on their preferences and budget within the SG offer.

• Both parties agree to maintain confidentiality and not disclose confidential or sensitive information without consent.