APPLICATION FOR AFFILIATE MEMBERSHIP

APPLICATION FOR AFFILIATE MEMBERSHIP

Please fill this out completely and sign online with mouse/stylist
1433 South. Glenburnie Rd, New Bern NC 28562

252-636-5364
Name *

First Name Middle Name Last Name
Company Name *
Nature of Business *
Name(s) of Company Owner(s)

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Primary Phone Number *

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Office Phone Number

Area Code Phone Number
E-mail *
To better assist you, please state your reasons for wanting to be a Business Affiliate Partner of NRRAR: *
Where you referred by a NRRAR Member? *

Yes No
If Yes, If so Whom? *
Do you have an active Real Estate License? *

Yes No
If Yes, If so Where?
Will you require MLS or Lockbox Access? If yes, MLS membership may be required.

Yes No
Are you a member of any other Board of Realtors? *

Yes No
If Yes, please provide the name of the Board/Association, and type of membership held.
I, the undersigned, hereby apply for Affiliate Membership in the Neuse River Region Association of REALTORS® and am encouraged to abide by the principles established in the Code of Ethics of the National Association of REALTORS® and conduct my business and professional practices in accordance with the Bylaws of the Association. I do not engage primarily in the real estate business as defined for Membership in the Association’s Bylaws, but I do have an interest in acquiring information concerning real estate and am in sympathy with the objective of the Association. I irreversibly waive all claims against the Association or any of its Office, Directors, or Members for any act in connection with the business of suspending, expelling, or otherwise disciplining me as an applicant or a member. By signing below, I consent that NRRAR and their subsidiaries may contact me by means of the contact information listed above. This consent applies to contact changes that may be provided by me to the associations(s) in the future. I have read and agree with the terms and conditions presented above.
Signature and Date *

Clear
Affiliate Application Fee $150.00 (one-time fee with no lapse in Membership)/ Annual Affiliate Membership Dues $285 (Pro-rated).

-THIS PORTION IS TO BE FILLED OUT BY NRRAR STAFF ONLY-

FLEX ID ______________________	_________FLEX
NRDS#_______________________	_________Google Groups
	_________ Eventbrite
Join Date _____________________	_________ Constant Contact
Key Class Date _________________	_________ Portal.office.com
Read Date _____________________	_________ Spreadsheet
Induction Date _________________	_________ Invoices
Orientation Date ________________	_________ Orientation List

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APPLICATION FOR AFFILIATE MEMBERSHIP

1433 South. Glenburnie Rd, New Bern NC 28562