Application For Designated Realtor Form

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A
B
REALTORS®
RLINGTON
OARD OF
A
D
REALTOR®
PPLICATION FOR
ESIGNATED
To the Arlington Board of REALTORS®, I hereby apply for REALTOR® Membership in the Board and agree to
pay the dues and fees as described to me via phone or fax. My application fee will be returned to me in the event of non-
election. In the event of my election, I agree to abide by the Code of Ethics of the National Association of REALTORS®,
and the Constitution, Bylaws and Rules and Regulations of the above named Board, the State Association and the National
Association.
I consent that the Board, may invite and receive information and comment about me from any member or other
person, and I further agree that any information and comment furnished to the Board by any person in response to the
invitation shall be conclusively deemed to be privileged and not form the basis of any action by me for slander, libel, or
defamation of character. I understand membership brings certain privileges and obligations that require compliance.
Membership is provisional and may be revoked should completion of requirements, such as the Orientation, not be
completed within times indicated in the Bylaws.
I understand that I am fully responsible to said Association for any licensed sales persons affiliated with my
firm(s) and for their conduct of business and for the payment of additional personal dues for all non-members. I understand
that I will be granted provisional membership immediately upon submission of a completed application form and
remittance of applicable dues and fees, and that my application is subject to review by the Board of Directors.
Name as shown on Texas Real Estate License:_____________________________________________________________
Texas Real Estate License Number: ______________________ Are you a: Broker:_________Salesman:______________
SSN# (Last 4 only) _____________ What name do you want on Membership Roster?:____________________________
Office Name:_______________________________________________________________________________________
Office Address:_____________________________________________________________________________________
Office Phone:_____________________ Fax:____________________ Email____________________________________
Home Address (Required):____________________________________________________________________________
Home Phone:_____________________ Fax:____________________ Email____________________________________
Cell Phone:_________________ Preferred Phone: ____________________
Preferred Mailing: Home __Office__
Email Billing: I would like for my quarterly statements to be billed to the following email address:
__________________________________________________________________
Are you presently a member of any other Association of REALTORS®? ___Yes ___No
If yes, name of Association and type of membership held:____________________________________________
Have you previously held membership in any other Association of REALTORS® ___Yes ___No
If yes, name of Association and type of membership held:______________________________________
Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in
the past three (3) years or are there any such complaints pending? Yes __ No__ (If yes, provide details as an attachment.)
If you are now or have ever been a REALTOR®, indicate your NAR membership (NRDS)#:_________________
Last date (year) of completion of NAR’s Code of Ethics training requirement:_____.
I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to
provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my
membership if granted. I further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from
time to time established. Payments to the Arlington Board of REALTORS® are not deductible as charitable contributions.
Such payments may, however, be deductible as an ordinary and necessary business expense. No refunds.
I recognize that certain state and federal laws may place limits on communications. By signing below I consent
that the REALTOR® Associations (Local, State, National) may contact me at the specified address, telephone numbers, fax
numbers, email address or other means of communication available. This consent applies to changes in contact information
that may be provided by me to the Board in the future.
Dated:________________ Signature:_______________________________
ARBOR STAFF USE ONLY: NRDS# _____________________________
revised 6/2008

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