Member Change Form
Date: ________________
__________________________________________________
___________________
Member Name
Member ID
Please Check the Appropriate Change:
Personal Data Change
Complete this section to make changes to your personal information.
Name (new or current) ___________________________________________________________________________
Home Address_____________________________________________ City, State, Zip ________________________
Home Phone ________________________ Office Phone _____________________ Cell Phone__________________
Primary E-mail _____________________________________ Secondary E-mail ______________________________
Transferring Offices
Complete this section if an agent is transferring from one office to another. A membership application needs to be completed if an agent
is transferring to SPAAR from another Association.
Previous Office Name __________________________________________ Previous Office ID __________________
New Office Name _____________________________________________ New Office Office ID ________________
Office Address _____________________________________ City, State Zip ________________________________
E-mail Address ________________________________________ Preferred Phone ___________________________
Broker/Responsible Member Signature
____________________________________________________________________________
Cancelling SPAAR Membership
Check the appropriate box below to terminate an agent; license must be returned to the Department of Commerce - please attach copy of
terminated license.
Office Name_________________________________________________ Office ID ___________________________
Office Address _________________________________________ City, State, Zip ___________________________
Effective Date _______________ If joining another association, please state which one _____________________
Reason for Cancellation:
Transferred to a non-member Office
Put license on “ice”
Left Real Estate Industry
Deceased
Transferred to LFRO entity
Other _______________________________________
Former Broker/Responsible Member Signature
___________________________________________________________________
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: