La DOTD System Registration - Real Estate Broker

Personal Information
First Name
Middle Initial
Last Name

Company or Personal Address
Address
Address2
City State Zip

Contact Information
Phone example: 123-456-7891
Fax example: 123-456-7891
E-Mail example: yourname@yourmail.com

Real Estate Broker Roles
 Select Your MLS Region(s)Description
BAYOU BOARD OF REALTORS 
GREATER BATON ROUGE ASSOCIATION OF REALTORS 
GREATER CENTRAL LOUISIANA REALTOR ASSOCIATION 
GREATER FORT POLK AREA REALTORS 
NEW ORLEANS METROPOLITAN ASSOCIATION OF REALTORS 
NORTHEAST LOUISIANA ASSOCIATION OF REALTORS 
NORTHSHORE AREA BOARD OF REALTORS 
NORTHWEST LOUISIANA ASSOCIATION OF REALTORS 
REALTOR ASSOCIATION OF ACADIANA 
SOUTHWEST LOUISIANA ASSOCIATION OF REALTORS 
  
Please Choose Your Email Notification Preferences from below options: 
Receive Parcel Updates of MLS Regions Selected 
Receive Reminder Emails of Parcel DeadLine Dates 

Miscellaneous Info
Broker's Company Name
Broker's License Number
License Expiration Date