idx optout form

This form permits you to opt out of the Broker Reciprocity program.
This form must be filled out completely and signed by the broker/office
manager for your office. There are no exceptions. Once you have filled it out and
signed it, fax or mail it to:

Sandicor, Inc.

Attention: Broker Reciprocity

5414 Oberlin Dr.; Suite 150;

San Diego, CA 92121.

FAX 858-622-6222

Firm Name:  _________________________________________  Firm ID #:  _______________

Broker/Office Manager Name:  ____________________________________________________

Firm Street Address:  ___________________________________________________________

Firm City, ST, Zip:  _____________________________________________________________

Firm Phone: FAX:  ______________________________________________________________

Should this form apply to any other offices of your firm? If so attach a separate page
with a list of the office to which this form should apply.

MY FIRM WILL NOT PARTICIPATE IN BROKER RECIPROCITY. I understand that this means
that other Broker Reciprocity participants will not be permitted to display my listings on their web
sites. I further understand that my firm will receive no benefits under the Broker Reciprocity program.
My firm is not allowed to display the listings of other brokers unless I receive permission from
them individually to do so.
I am the broker/office manager for the MLS office listed above. I represent that I have the authority
to execute this form on behalf of my own office and all other offices listed (if any).