Internet Advertising Authorization Form
Print this form, complete the application, and mail it to HIS.

INTERNET ADVERTISING AUTHORIZATION FORM

LISTING AGENT Name (as recorded with DCCA and R.E. Commission)   LISTING AGENT ID Number OFFICE NAME (as recorded with DCCA and R.E. Commission)   LISTING OFFICE ID Number YES! I would like to have ALL my residential, condominium, land, business, and commercial active listings included on the Internet site maintained by Hawaii Information Service as well as any other internet sites HIS contracts with. Home Phone: Pager: AGENT SIGNATURE Date Other Contact Number: Please specify: AUTHORIZING BROKER SIGNATUREDate Other Contact Number: Please specify: Internet submission of your active listings will begin within 1 week after receipt of authorization from PB. PRICING WORKSHEET SELECT FROM THE FOLLOWING CHOICES: Other Information: Price Internet Advertising Location: www.HawaiiInformation.com No Charge   Listing Info sent to Internet Advertisers Cyberhomes, MSN, realtor.com, etc. No Charge   Up to 5 add'l photos on realtor.com "New" $100 /1-Time   Include my Internet email address Specify E-mail Address:   No Charge   Include link to web site of your choice Specify URL:   No Charge   Email forwarding If you don't have an email address, HIS will fax your email to you. $15.00 /per email   Agent Photo Will appear on brochure screen. $50.00 /1-Time   Office Logo (1 per office) Office logo appears in multiple sections. Affects all agents in office. $50.00 /1-time   Visit My/Our Properties Hyperlink Links your property listings to your website $50.00 /1-time   Visit My/Our Properties Custom Background Complete Page 2 Your company background/logo, etc. appears on your property listings page. $100.00 /1-time   Search for Real Estate Professionals Complete Page 2 Appear in the Real Estate Professionals' Gallery $100.00 /annual   Search for Vacation Rental Companies Complete Page 2 (1 per office) Appear in our Vacation Rental Gallery. Fee for logo not included. (Logo fee - $50.) $100.00 /annual   GRAND TOTAL (Make Payable to Hawaii Information Service):   BILLING INFORMATION NEW ACCOUNTS ARE REQUIRED TO PAY BY MASTERCARD OR VISA CHARGE NUMBER   NAME ON CARD EXPIRATION AUTHORIZED SIGNATURE Send completed application to: Hawaii Information Service, 680 Iwilei Road Suite 777, Honolulu, HI 96817 Tel: (808) 599-4224 -- FAX (808) 536-6499

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This form last updated 11/3/99
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