Hawaii Information Service MLS Application

MLS Subscriber Application Form

Welcome and congratulations on your decision to join Hawaii Information Service as an MLS member. We hope that your real estate career will be fulfilling and prosperous! Please take the time to completely fill out the following online application. Once we receive this online form, we will follow up with formal paperwork that will need to be signed by you and your broker (if applicable) through the Docusign email service.


>>Subscriber Type * Click for definition
Real Estate Appraiser
Real Estate Associate
Licensed Support
Non-Licensed Support
Support

>>General Information

First Name:	*
Middle Initial:
Last Name:	*
Nickname:
Broker Name:	* (Your Real Estate Broker's Name)
Agent ID:	- * (Your Real Estate License #. Example is RS-1111. Select 'None' if you don't have one.)
Office ID:	* (Ask your Broker)
Office Name:	*
REdesignation:
Member of board:	*
Physical Location:	*

>>Personal Contact Information (Will be kept on file, but not made public.)

Billing Address:	*
City:	*
State:
Zip Code:	*
Birth Date:	* (please enter only the month. e.g. 04 for April)

>>Public Contact Information (Will be made public: Roster, Listings, Public Website, etc)

Cell Phone:	*
Pager:
Direct Phone:	Ext: *
Office Fax:	*
Home Phone:	* Keep Confidential
Home Fax:	* Keep Confidential
E-Mail:	* Keep Confidential
	(If you do not have e-mail, please use your office's e-mail address)
Web Address(URL):


You must read the Schedule of fees and charges by clicking HERE
Please indicate that you have read and understand the schedule of fees, and agree to pay these initial start up fees.
I Agree:	I Disagree:

( * = Required Fields)