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Rmls Access Application Form

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FOR OFFICE USE ONLY

Member # ________________________

Ofﬁ ce # _________________________

NRDS # ________________________

Amount Paid $ ____________________

Date Added ______________________

RMLS Access Application

Date Called ______________________

I hereby apply for membership in the Minneapolis Area Association of REALTORS

. I agree to abide to the Rules and

Regulations of the Minneapolis Area Association of REALTORS

and the Duty to Arbitrate. I understand that these

governing documents may amend from time to time. I further consent and authorize the association to transfer the

information in my membership ﬁ le to any other real estate association. I certify, that to the best of my knowledge the

following information is true:

Name as shown on license _______________________________________________________________________________

License # ____________________________________________________________________________________________

Date of Birth (Month/Day/Year) ___________________________________________________________________________

Broker __________ Salesperson __________ Ofﬁ ce Name ____________________________________________________

Ofﬁ ce Address _______________________________________________________________________________________

City ___________________________________________________ State ___________ ZIP _________________________

Ofﬁ ce Phone ____________________________________________ Ofﬁ ce Fax ____________________________________

Home Address _______________________________________________________________________________________

City ___________________________________________________ State ________ ZIP ____________________________

Home Phone ____________________________________________ Home Fax ____________________________________

Primary REALTOR

Association __________________________________________________________________________

Cell Phone ______________________________________________ Email _______________________________________

Preferred Contact Number

Ofﬁ ce

Home

Cell

Other (please specify) _____________________________________

Signature ____________________________________________________________ Date ___________________________

5750 Lincoln Drive • Minneapolis, MN 55436 • 952.933.9020 phone • 952.933.9021 fax •

Revised October 12, 2007

Rmls Access Application Form

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