If you are interested in becoming a domain broker for the iGoldrush Brokerage Network, please fill out the following survey. The purpose of this survey is for iGoldrush to gain a clear understanding of your talents and skillset as a domain broker, in order to pair you with domain inventory that fits you best.

The survey is 4 pages long, including this contact page, and it should take approximately 10-15 minutes to complete.

There is no right or wrong answer on the survey. Respond to each question honestly and we will get back to you with further details on signing up.

Broker Contact Information

iGoldrush User ID* (register here)
Company name (if any)
First Name*
Last Name*
Address 1*
Address 2
City*
State*
Zip/Postal Code*
Country*
Business Phone*
Mobile Phone
Fax
Email*
URL
Facebook Username
Skype Username
AOL IM Username
MSN Username
LinkedIn Page
Twitter Page

* Preferred Method of Contact

Email
Phone
Skype
Instant Message
Text Message

* Best time to reach you

9am-12pm EST
12pm-3pm EST
3pm-6pm EST