Fillable Affiliate Application For Membership printable pdf download

AFFILIATE APPLICATION FOR MEMBERSHIP

**Please let us know if you or your office is already a member of the Texas Association of REALTORS®

Or with another REALTOR® Association or Board.

Classification of membership desired (see back page for description):

FIRM INFORMATION:

Affiliate (AFF) _______ Associate Affiliate (AF2) ________

Firm Name: ______________________________________________________________________________________

Firm Address: _____________________________________________________________________________________

City: ____________________________________________ State: ___________________ Zip: _____________________

Office Phone: _______________________________ Office Fax: __________________________________

Is this the PREFERRED Mailing Address: ☐ Yes

☐ No (If No, please fill out below)

PREFERRED Mailing Address: _________________________________________________________________________

City: ___________________________________________ State: _____________________ Zip: _____________________

Type of Business: ___________________________________________________________________________________

Web Site: _________________________________________________________________________________________

Owner / Corporate Officer: (Listed as AFF and typically main invoiced)

First Name: ___________________________________________ Last Name: _________________________________

Position/Title: ________________________________ Owner / Corporate Officers NRDS #: ___________________________

INVOICING Email: ______________________________________________________________________________________

Representative for Firm: (FREE OF CHARGE AF2)

First Name: ________________________________________________ Last Name: _________________________________

Office Phone: ________________________ Office Fax: _______________________ Cell: ________________________

Email Address: _____________________________________________________________________________________

Position / Title: ___________________________________________________

Are you licensed in any other state? ☐ No

☐ Yes, what state? _________________________________________

Are you required to hold a real estate license to perform your business activities? ________________________________

NRDS#_________________________________

Billing Information:

Unless otherwise notified the INVOICING EMAIL Address listed above will receive all Invoice notifications

Associate Affiliates:

*(Each additional name will be billed $25.00 annually for dues)

_________________

____________________________

Name

E-mail Address

Cell

_________________

____________________________

Name

E-mail Address

Cell

123 East Old Settlers Blvd. · Round Rock, Texas 78664 · Phone (512) 255-6211 · Fax (512) 255-0666 ·

Affiliate Application For Membership