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- <div class="form-all">
- <ul class="form-section">
- <li class="form-line" id="id_9">
- <div id="cid_9" class="form-input-wide">
- <img alt="" class="form-image" border="0" src="http://www.foxmls.com/Images/15-minuteR.png" height="250" width="600" />
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- <p><span style="font-size: medium;"><strong><span style="font-family: tahoma, arial, helvetica, sans-serif;">A complete REALTOR MLS listing provides the best data for searching by REALTORS and consumers.</span>
- </strong></span>
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- <div id="text_6" class="form-html">
- <div><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">This is the most complete MLS data collection tool in the industry.</span>
- <br />
- <br /><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">This data collection tool is for posting "
- <strong>
- For Sale
- </strong>
- " or "
- <strong>
- For Rent
- </strong>
- " property types including the following:</span>
- </div>
- <div><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;"><br /></span>
- </div>
- <div>
- <table style="width: 100%;">
- <tbody>
- <tr>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Detached Homes</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Two to Four Units</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Business w/RealEstate</span>
- </td>
- </tr>
- <tr>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Attached Homes</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Deeded Parking</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Mixed Use</span>
- </td>
- </tr>
- <tr>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Residential Rental</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Multi Family 5 Plus Units</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Instut/To Develop</span>
- </td>
- </tr>
- <tr>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Land</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Office/Technical</span>
- </td>
- <td><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Industrial</span>
- </td>
- </tr>
- </tbody>
- </table>
- </div>
- <div>
- <br /><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Be sure to have at least 1 front external picture (up to 25 pictures) of the property.</span>
- </div>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_40">
- <div id="cid_40" class="form-input-wide">
- <a href="https://www.securecheckout.billmelater.com/paycapture-content/fetch?hash=AU826TU8&content=/bmlweb/ppwpsiw.html" target="_blank"><img alt="" class="form-image" border="0" src="http://www.foxmls.com/Images/PayPal.png" height="49" width="600" /></a>
- </div>
- </li>
- <li class="form-line" id="id_10">
- <label class="form-label-left" id="label_10" for="input_10">
- Select Property State<span class="form-required">*</span>
- </label>
- <div id="cid_10" class="form-input">
- <select class="form-dropdown validate[required]" style="width:150px" id="input_10" name="q10_selectProperty">
- <option value=""> </option>
- <option value="Florida"> Florida </option>
- <option value="Illinois"> Illinois </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_44">
- <label class="form-label-left" id="label_44" for="input_44"> State Selected FL: </label>
- <div id="cid_44" class="form-input">
- <input type="text" readonly="readonly" class="form-readonly form-textbox" data-type="input-textbox" id="input_44" name="q44_stateSelected" size="20" value="Florida" />
- </div>
- </li>
- <li class="form-line" id="id_45">
- <label class="form-label-left" id="label_45" for="input_45"> State Selected IL: </label>
- <div id="cid_45" class="form-input">
- <input type="text" readonly="readonly" class="form-readonly form-textbox" data-type="input-textbox" id="input_45" name="q45_stateSelected45" size="20" value="Illinois" />
- </div>
- </li>
- <li class="form-line" id="id_43">
- <div id="cid_43" class="form-input-wide">
- <div id="text_43" class="form-html">
- <p><span style="font-size: x-small;">Press F5 if you choose the wrong State.</span>
- </p>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_11">
- <label class="form-label-left" id="label_11" for="input_11">
- Select Florida County<span class="form-required">*</span>
- </label>
- <div id="cid_11" class="form-input">
- <select class="form-dropdown validate[required]" style="width:150px" id="input_11" name="q11_selectFlorida">
- <option value=""> </option>
- <option value="Alachua"> Alachua </option>
- <option value="Baker"> Baker </option>
- <option value="Bay"> Bay </option>
- <option value="Bradford"> Bradford </option>
- <option value="Brevard"> Brevard </option>
- <option value="Broward"> Broward </option>
- <option value="Calhoun"> Calhoun </option>
- <option value="Charlotte"> Charlotte </option>
- <option value="Citrus"> Citrus </option>
- <option value="Clay"> Clay </option>
- <option value="Collier"> Collier </option>
- <option value="Columbia"> Columbia </option>
- <option value="DeSoto"> DeSoto </option>
- <option value="Dixie"> Dixie </option>
- <option value="Duval"> Duval </option>
- <option value="Escambia"> Escambia </option>
- <option value="Flagler"> Flagler </option>
- <option value="Franklin"> Franklin </option>
- <option value="Gadsden"> Gadsden </option>
- <option value="Gilchrist"> Gilchrist </option>
- <option value="Glades"> Glades </option>
- <option value="Gulf"> Gulf </option>
- <option value="Hamilton"> Hamilton </option>
- <option value="Hardee"> Hardee </option>
- <option value="Hendry"> Hendry </option>
- <option value="Hernando"> Hernando </option>
- <option value="Highlands"> Highlands </option>
- <option value="Hillsborough"> Hillsborough </option>
- <option value="Holmes"> Holmes </option>
- <option value="Indian River"> Indian River </option>
- <option value="Jackson"> Jackson </option>
- <option value="Jefferson"> Jefferson </option>
- <option value="Lafayette"> Lafayette </option>
- <option value="Lake"> Lake </option>
- <option value="Lee"> Lee </option>
- <option value="Leon"> Leon </option>
- <option value="Levy"> Levy </option>
- <option value="Liberty"> Liberty </option>
- <option value="Madison"> Madison </option>
- <option value="Manatee"> Manatee </option>
- <option value="Marion"> Marion </option>
- <option value="Martin"> Martin </option>
- <option value="Miami-Dade"> Miami-Dade </option>
- <option value="Monroe"> Monroe </option>
- <option value="Nassau"> Nassau </option>
- <option value="Okaloosa"> Okaloosa </option>
- <option value="Okeechobee"> Okeechobee </option>
- <option value="Orange"> Orange </option>
- <option value="Osceola"> Osceola </option>
- <option value="Palm Beach"> Palm Beach </option>
- <option value="Pasco"> Pasco </option>
- <option value="Pinellas"> Pinellas </option>
- <option value="Polk"> Polk </option>
- <option value="Putnam"> Putnam </option>
- <option value="Saint Johns"> Saint Johns </option>
- <option value="Saint Lucie"> Saint Lucie </option>
- <option value="Santa Rosa"> Santa Rosa </option>
- <option value="Sarasota"> Sarasota </option>
- <option value="Seminole"> Seminole </option>
- <option value="Sumter"> Sumter </option>
- <option value="Suwannee"> Suwannee </option>
- <option value="Taylor"> Taylor </option>
- <option value="Union"> Union </option>
- <option value="Volusia"> Volusia </option>
- <option value="Wakulla"> Wakulla </option>
- <option value="Walton"> Walton </option>
- <option value="Washington"> Washington </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_13">
- <label class="form-label-left" id="label_13" for="input_13">
- Illinois Property Input Sheet<span class="form-required">*</span>
- </label>
- <div id="cid_13" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_13_0" name="q13_illinoisProperty" value="Detached Single Family" />
- <label for="input_13_0"> Detached Single Family </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_13_1" name="q13_illinoisProperty" value="Attached Single Family" />
- <label for="input_13_1"> Attached Single Family </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_13_2" name="q13_illinoisProperty" value="Residential Rental" />
- <label for="input_13_2"> Residential Rental </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_13_3" name="q13_illinoisProperty" value="Land" />
- <label for="input_13_3"> Land </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_13_4" name="q13_illinoisProperty" value="Office/Tech" />
- <label for="input_13_4"> Office/Tech </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_13_5" name="q13_illinoisProperty" value="Retail/Stores" />
- <label for="input_13_5"> Retail/Stores </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_13_6" name="q13_illinoisProperty" value="Mixed Use" />
- <label for="input_13_6"> Mixed Use </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_55">
- <div id="cid_55" class="form-input-wide">
- <div id="text_55" class="form-html">
- <p>
- MIDFL You have selected a county serviced by the Mid Florida MLS by selecting one of the following counties: Brevard, Charlotte, Desoto, Hardee, Hernando, Hillsborough, Lake, Manatee, Orange, Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole, Sumter or Volusia counties.
- </p>
- <p><span style="font-size: x-small;">Press F5 if you choose the wrong County.</span>
- </p>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_14">
- <label class="form-label-left" id="label_14" for="input_14">
- MIDFL Property Input Sheet<span class="form-required">*</span>
- </label>
- <div id="cid_14" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_14_0" name="q14_midflProperty14" value="Residential" />
- <label for="input_14_0"> Residential </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_14_1" name="q14_midflProperty14" value="Rental" />
- <label for="input_14_1"> Rental </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_14_2" name="q14_midflProperty14" value="Vacant Land" />
- <label for="input_14_2"> Vacant Land </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_14_3" name="q14_midflProperty14" value="Commercial" />
- <label for="input_14_3"> Commercial </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_14_4" name="q14_midflProperty14" value="Income" />
- <label for="input_14_4"> Income </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_56">
- <div id="cid_56" class="form-input-wide">
- <div id="text_56" class="form-html">
- <p>
- SEFL You have selected a county serviced by the joint MLS's serving the following counties: Broward, Indian River, Martin, Miami-Dade, Palm Beach and St Lucie counties.
- </p>
- <p><span style="font-size: x-small;">Press F5 if you choose the wrong County.</span>
- </p>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_15">
- <label class="form-label-left" id="label_15" for="input_15">
- SEFL Property Input Sheet<span class="form-required">*</span>
- </label>
- <div id="cid_15" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_15_0" name="q15_seflProperty" value="Residential" />
- <label for="input_15_0"> Residential </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_15_1" name="q15_seflProperty" value="Rental" />
- <label for="input_15_1"> Rental </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_15_2" name="q15_seflProperty" value="Vacant Land" />
- <label for="input_15_2"> Vacant Land </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_15_3" name="q15_seflProperty" value="Commercial" />
- <label for="input_15_3"> Commercial </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_15_4" name="q15_seflProperty" value="Income" />
- <label for="input_15_4"> Income </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_57">
- <div id="cid_57" class="form-input-wide">
- <div id="text_57" class="form-html">
- <p>
- NEFL You have selected a county serviced by the Northeast Florida MLS by selecting one of the following counties: Clay, Duval, Putman, and St. Johns Counties.
- </p>
- <p><span style="font-size: x-small;">Press F5 if you choose the wrong County.</span>
- </p>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_124">
- <label class="form-label-left" id="label_124" for="input_124">
- NEFL Property Input Sheet<span class="form-required">*</span>
- </label>
- <div id="cid_124" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_124_0" name="q124_neflProperty124" value="Residential" />
- <label for="input_124_0"> Residential </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_124_1" name="q124_neflProperty124" value="Rental" />
- <label for="input_124_1"> Rental </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_124_2" name="q124_neflProperty124" value="Vacant Land" />
- <label for="input_124_2"> Vacant Land </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_124_3" name="q124_neflProperty124" value="Commercial" />
- <label for="input_124_3"> Commercial </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_124_4" name="q124_neflProperty124" value="Income" />
- <label for="input_124_4"> Income </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_58">
- <div id="cid_58" class="form-input-wide">
- <div id="text_58" class="form-html">
- <p>
- Other You have selected a county serviced by the MLS's serving the following counties: Alachua, Baker, Bay, Bradford, Calhoun, Collier, Columbia, Dixie, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Highlands, Holmes, Jackson, Jefferson, Lafayette, Lee, Leon, Levy, Liberty, Madison, Marion, Monroe, Nassau, Okaloosa, Okeechobee, Santa Rosa, Suwannee, Taylor, Union, Volusia, Wakulla, Walton or Washington Counties.
- </p>
- <p><span style="font-size: x-small;">Press F5 if you choose the wrong County.</span>
- </p>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_128">
- <label class="form-label-left" id="label_128" for="input_128">
- Other Property Input Sheet<span class="form-required">*</span>
- </label>
- <div id="cid_128" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_128_0" name="q128_otherProperty" value="Residential" />
- <label for="input_128_0"> Residential </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_128_1" name="q128_otherProperty" value="Rental" />
- <label for="input_128_1"> Rental </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_128_2" name="q128_otherProperty" value="Vacant Land" />
- <label for="input_128_2"> Vacant Land </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_128_3" name="q128_otherProperty" value="Commercial" />
- <label for="input_128_3"> Commercial </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio validate[required]" id="input_128_4" name="q128_otherProperty" value="Income" />
- <label for="input_128_4"> Income </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_3">
- <label class="form-label-left" id="label_3" for="input_3">
- Full Name<span class="form-required">*</span>
- </label>
- <div id="cid_3" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName3[first]" id="first_3" />
- <label class="form-sub-label" for="first_3" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName3[last]" id="last_3" />
- <label class="form-sub-label" for="last_3" id="sublabel_last"> Last Name </label></span>
- </div>
- </li>
- <li class="form-line" id="id_4">
- <label class="form-label-left" id="label_4" for="input_4">
- Phone Number<span class="form-required">*</span>
- </label>
- <div id="cid_4" class="form-input"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q4_phoneNumber4[full]" id="input_4_full" autocomplete="off">
- <label class="form-sub-label" for="input_4_full"> </label></span>
- </div>
- </li>
- <li class="form-line" id="id_7">
- <label class="form-label-left" id="label_7" for="input_7">
- Property Address<span class="form-required">*</span>
- </label>
- <div id="cid_7" class="form-input">
- <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_7" name="q7_propertyAddress7" size="50" />
- </div>
- </li>
- <li class="form-line" id="id_129">
- <div id="cid_129" class="form-input-wide">
- <div id="text_129" class="form-html">
- <p><span style="font-family: tahoma, arial, helvetica, sans-serif; font-size: small;">Your email address can be used to access the information if you are unable to complete the form after starting or need to locate information in order to complete.</span>
- </p>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_5">
- <label class="form-label-left" id="label_5" for="input_5">
- E-mail<span class="form-required">*</span>
- </label>
- <div id="cid_5" class="form-input"><span class="form-sub-label-container"><input type="email" class=" form-textbox validate[required, Email]" id="input_5" name="q5_email5" size="30" />
- <br>
- <input type="email" class="form-textbox validate[required, Email, Email_Confirm]" id="input_5_confirm" style="margin-top:8px;" size="30" />
- <label class="form-sub-label" for="input_5"> This e-mail address will be used to access your listing. </label></span>
- </div>
- </li>
- <li class="form-line" id="id_2">
- <div id="cid_2" class="form-input-wide">
- <div style="margin-left:156px" class="form-buttons-wrapper">
- <button id="input_2" type="submit" class="form-submit-button form-submit-button-simple_black">
- Next Page - Address Information
- </button>
- </div>
- </div>
- </li>
- <li style="display:none">
- Should be Empty:
- <input type="text" name="website" value="" />
- </li>
- </ul>
- </div>
- <input type="hidden" id="simple_spc" name="simple_spc" value="31907788641162" />
- <script type="text/javascript">
- document.getElementById("si" + "mple" + "_spc").value = "31907788641162-31907788641162";
- </script>
- </form></body>
- </html>
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