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SUMMIT FINANCIAL AND INVESTMENT GROUP, LLC

10421 South Jordan Gateway - Suite 400 - South Jordan, Utah 84095
Office (801) 944-4320 Fax (801) 944-4322 Email: sfig@sfig.com Real Estate Investment Bankers

BROKER REGISTRATION FORM


(Please type or Print Legibly)

Date: Broker Name: 2nd Contact: Company Name: Address: City: Office Phone: Cell/Mobile: Email: Web Page: State:

Years in Business:

Zip: Facsimile: Pager:

General Types of Projects or Funding requests you want SFIG to consider:

Range of Loan Fees you typically charge:

Comment/Other:

Return by fax to (801) 944-4322 email: sfig@sfig.com

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