OFFICE INFO CHANGE FORM

OFFICE INFO CHANGE FORM

Date _________________________

Name ___________________________________________________________

Company ___________________________________________________________

Change:

Company Name ______________________________________________________

Broker Name _________________________________________________________

Address: ____________________________________________________________

City ____________________________________ State ____________ Zip _______

Office Phone # ________________________ Office Fax # ____________________

Email ___________________________________________________________

Other ___________________________________________________________

I understand that by providing above my mailing address(es), email address(es),

telephone number(s), and fax number(s), I consent to receive communications

sent from the GreaterAlexandria Area Association ofREALTORS® , the

MinnesotaAssociation ofREALTORS® and theNATIONAL

ASSOCIATIONOFREALTORS® via U.S. mail, email, telephone,

or facsimile at those number(s) / location(s).

409 Nokomis St., Alexandria MN 56308

Telephone: 320-762-2022

Fax: 320-762-9021

gaaar@gctel.net