Broker Listing Form

Business Name*
Legal Entity Name*
ABN*
Listing Broker*
Is this a new listing or a re listing?*
Ref No
Client's Full Name
First Last
Client's Email Address
Price
Title / Heading
Region*
Sub Location (Tag for AC)*
Sub Location (Tag for AC)*
Sub Location (Tag for AC)*
Sub Location (Tag for AC)*
Sub Location (Tag for AC)*
Sub Location (Tag for AC)*
Business Type (Tag for AC)
Suburb to Display on External Sites
Tag for the Business Name to be used in Active Campaign
Description
**Please note that for confidentiality the image in this advert is generic and is not of the actual business**
Lease Details
Premises Details
Staff Details
Opening Hours
Opportunity

Financial Information for external ads