Affiliate Membership Application Form
ADVERTISEMENT
1Affiliate Membership Application
Date of Application: ________________
:
Type of Membership
Primary Affiliate
Secondary Affiliate (Company must already have an Affiliate Membership)
_____________________________________________________________________________________
Name
first
MI
Last
Nickname______________________________________ Gender:
M
F SS#
____________
(last 4 digits only)
Office Name _______________________________________________________ Office ID ___________________
Office Address ___________________________________ City, State, Zip ________________________________
Office Phone _____________________________________ Office Fax ____________________________________
Home Address ____________________________________City, State, Zip ________________________________
Home Phone ______________________________________ Cell Phone ___________________________________
_____________________________
___________________________________________
Date of Birth
Website
Primary E-mail: _____________________________________ Secondary E-mail: ___________________________
Please check preferred method of Communications:
E-mail
Mail - Home
Mail - Office
Do you hold an active Real Estate/Appraisers License?
Yes
No License Number: ___________________
Do you wish to obtain a SupraKey?
Yes
No
If yes, please be aware that a background check release form is also required.
Which other real estate associations are you affiliated with? __________________________________________
Please indicate the services provided by your firm:
1031 Exchange Services
Attorney/Legal
Appraisal
Closing Services
Auto/Transportation
Builder
Décor/Home staging
Consulting
Education
Government Agency
Handyman/Home Repairs
Inspection Compnay
Insurance Provider
Marketing/Promotions
Mortgage/Banking
Property Management
Photography
Printing/Mailing
Title Compnay
Publications/Media
Recreation/Travel
Other, Please specify: ___________________________________
Wireless/Communications
I herby apply for Affiliate Membership in the Saint Paul Area Association of REALTORS®. I agree to abide by the
rules and regulations of the association as well as adhere to the association bylaws. Individuals who hold an
active real estate license are precluded from becoming Affiliate Members.
Applicant Signature
__________________________________________________________________________________________________
Staff Use Only
Date Received ___________________
Processed by _________________________
Member ID _____________________
3 Locations to Serve You Better!
325 Roselawn Avenue East, Saint Paul, MN 55117
3470 Washington Drive, Suite 204, Eagan, MN 55122
3200 Main Street, Suite 270, Coon Rapids, MN 55448
Phone: 651.776.6000
Fax: 651.774.1177 E-mail: Website:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal