referral fee agreement

Form RFA-2012-04

REFERRAL FEE AGREEMENT ORIGINATING BROKERAGE INFORMATION Brokerage:

SUTTON GROUP - CANWEST

Brokerage Address: City, Province, Postal Code: Office Phone / Fax: Associate: Associate Phone: Associate Email:

#242, 755 Lake Bonavista Drive SE Calgary, AB T2J 0N3 Phone (403) 278-9208 / Fax (403) 278-9020

DESTINATION BROKERAGE INFORMATION Brokerage: Brokerage Address: City, Province, Postal Code: Office Phone: Office Fax: Associate: Associate Phone: Associate Email:

REFERRED CLIENT INFORMATION Client is aware of being referred?

[ [

] LISTING REFERRAL ] Yes [ ] No

[

] BUYING REFERRAL

Client’s Name(s): Address: City, Province, Postal Code Phone(s):

LISTING INFORMATION (if different from above) Listing Referral Address: City, Province, Postal Code: Other Information:

BUYING INFORMATION Destination City: Needs & Other Information:

REFERRAL FEE AGREED UPON:

Originating Brokerage Signature

Date

Destination Brokerage Signature

Date