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Realtors Membership Application
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*
" indicates required fields
Brokerage Name
*
Brokerage Address
*
City
*
State
*
Zip
*
Agents First Name
*
Middle Initial
*
Last Name
*
Phone
Email
*
Home Address
*
City
*
State
*
Zip
*
Birthday
*
Gender
*
Real Estate License #
*
Position (Broker/Salesperson)
*
Are you a member of another board and/or state?
*
Yes
No
Which Board & State Association will be your primary?
*
Applying for:
*
GFAAR Association & MLS Membership
MLS Membership Access Only
I would like Supra eKEY access - $25/month (Billed Quarterly)
*
Yes
No
Do you already have Supra eKEY access with another Association?
*
Yes
No
If "Yes", which association do you have Supra eKEY access with?
*
Supra eKEY Serial #
*
Supra eKEY Pin #
*
Have you been found in violation of the Code of Ethics or other membership duties in any Association of Realtors in the past three years?
*
Yes
No
If yes, provide details
Are there pending ethics complaints against you?
*
Yes
No
If yes, provide details
Agreement
*
By submitting this application
I agree as a condition to membership to thoroughly familiarize myself with the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS®, the Constitutions, Bylaws, and Rules and Regulations of the Association, State, and National Associations, and if elected a member, I will abide by the Constitutions, Bylaws, and the Rules and Regulations of the Association, State, and National Associations, and if a REALTOR® Member, I will abide by the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS® including the obligation to arbitrate controversies arising out of real estate transaction(s) as specified by Article 17 of the Code of Ethics, and as further specified in the Code of Ethics and Arbitration Manual of the NATIONAL ASSOCIATION OF REALTORS®, as from time to time amended, and (2) the applicant consents that the Association, through its membership committee or otherwise, may invite and receive information and comment about applicant from any member or other persons, and that applicant agrees that any information and comment furnished to the Association by any person in response to the invitation shall be conclusively deemed to be privileged and not form the basis of any action for slander, libel, or defamation of character. The applicant shall, with the form of application, have access to a copy of the Bylaws, Constitutions, rules, and Regulations, and the Code of Ethics referred to above.
Name
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