The document is an agent enrollment form for MRED's Automated RatePlug Marketing System. It collects an agent's contact information, including name, company, address, phone numbers, and email. The form also allows the agent to provide loan officer information for up to two loan officers, including their name, company, contact details, and email. The agent authorizes the listed loan officers' rates and programs to be displayed in connectMLS reports and to be notified of new or updated property listings.

1. MRED Automated RatePlug Marketing System
Agent Enrollment Form
Agent Name:
_____________________________________________________________________
Company:
_______________________________________________________________________
Address:
_______________________________________________________________________
_
City, State and Zip:
________________________________________________________________
Work #: (____) - ____________________ Cell #: (____) - _________________
Fax #: (____) - ____________________ MLS ID: ____________________Affiliated
MLS: MRED
E-mail Address: ___________________________________________________________________
LOAN OFFICER INFORMATION:
1) LO Name:_____________________________________________________________________
Company:_____________________ Contact #:_________________ Fax #____________________
Address: City: State: Zip:______
Email Address: _____
I authorize the above Loan Officers rates and programs to be displayed within the connectMLS - Live
Mortgage Rates-Client Report. I also authorize these Loan Officers to be notified electronically when I
list a new property in the MLS database, or if there is a status change to one of my property listings to
enable them to prepare a flyer for marketing purposes.
________________________________________ ______________________
Agent Signature Date
Please Fax completed form to: (630) 848-1337
RatePlug / RatePlug - Learn more at: http://www.rateplug.com/MRED
1700 N. Park Street, Suite 107● Naperville , IL 60563 ● (877) 710 0808 Toll Free ●
(630) 718-4040 Direct ● (630) 848-1337 Fax
David O’Brien: david.obrien@rateplug.com Direct: 847-624-0015