Month of Miracles Rally for Kids

August 1 - August 31, 2021

Thank you for participating in the Month of Miracles Rally for Kids!

If you are with a multi-office company, you may sign up as a company or separate locations.
If you are registering as a company you only have to fill out the form once.
If you are registering separate offices, you will need to fill out the form for each location you would like the Registration Kit to be shipped to.
Registration Kits include: 2'x3' office poster, dual-branded balloons
Upon successfully submitting your first form, a link will appear to return to the form for your next submission if you choose to register more than one office location.

When you add a new Miracle Home Agent, be sure to submit their participation using the RE/MAX CARES TILE on LAUNCHPAD for our internal tracking purposes. All new Miracle Home Agents including those agents who have increased to the $30 per transaction level (or higher) between August 1 - August 31, 2021 will count toward your 25% increase in participation personal goal.

For questions or assistance, please contact Marketing Manager, Sheryl Sharma, ssharma@remaxintegra.com.

Contact / Company Information

Company: *

Broker/Owner Name: *

5-Digit Office Number (as shown in iFranchise) *

Office Phone Number *

CMN Office Contact OR Name of Person Submitting this Form *

Contact Email Address *

Contact Direct Phone Number: *

Shipping Information for Registration Kit

Shipping Address (unit # and street name) *

City *

Prov *

Postal Code *

Miracle Home Program Office Details

Current agent count in participating office/company *

Current number of Miracle Home Agents in office/company: *

Current Number of Miracle Home Agents contributing minimum $30 per transaction or higher *

My CMN Hospital Foundation is: *

Any additional details (ex. shipping notes, details on MHP participants etc.)