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The Agent Application Form is an Adobe PDF Fill-In-The-Blank Form which allows you to enter information while the form is displayed by Adobe Acrobat. Print the completed form for your records and fax a copy to (601) 969-2215 for recording with Mississippi Valley Title.


We appreciate your interest in working with Mississippi Valley Title.

For an application, please click the above link or contact:

Mississippi Valley Title Services Company
505 20th Street North, Suite 805
Birmingham, AL 35203
Toll Free: (800) 843-1688
Fax: (205) 320-2285  


Charles 'Chas' W. Smith, III - Vice President, Agency Manager, Business Development, Associate Counsel
     Vice President, Old Republic National Title Insurance Company 
Phone:  (800) 843-1688
Fax:      (205) 320-2285
Email:    cwsmith@mvt.com


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