Business Partner Membership Application Form

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JUPITER-TEQUESTA-HOBE SOUND
ASSOCIATION OF REALTORS, INC.
Visit our Website:
2151 S Alt A1A, #1100, Jupiter, FL 33477
* Telephone: (561) 746-2707
*
Fax: (561) 575-9766
* E-Mail:
BUSINESS PARTNER MEMBERSHIP APPLICATION
I hereby apply for Business Partner Membership in the Jupiter-Tequesta-Hobe Sound Association of REALTORS and submit the
following information for your consideration.
Name of Company:
Representative:
Servicing Area(s):__________________________________________
Business Address: ___________________________________________________________________________________________ _
Business Phone: __________________________ FAX: ________________________Cell:__________________________________
Email Address:_________________________________________ Web Address:__________________________________________
Business Membership: The firm owns membership, designating only one representative. Representatives can be changed.
Individual Membership: Individual is the member. Membership remains with Individual if they move from one firm to another.
Service or product offered:
Roster classification:
___ Financial Advisors
___ Organizations
(Choose 1 only)
___ Attorney
___ Inspection Services
___ Interior Design/Staging
___ Builders
___ Insurance
___ Real Estate School
___ Communications
___ Lenders
___ Title Companies
___ Computers/Web Design
___ Moving Company
___ Other___________________
Information as provided above will be printed in the Association’s Business Partners roster, and all mailings sent to the above address.
If firm provides more than one service or product, extra classifications can be listed at $50 each, per year.
If more than one individual in the firm would like to be listed separately in the roster and receive mailings, add $50 per year for
each additional person and complete the following information:
Name:
Name:
Address:
Address:
(O) Phone:
FAX: __________________
(O) Phone:
FAX: ______________
(C) Phone: ___________________________________________
(C) Phone:_________________________________________
E-mail:
____________________________________________
E-mail:
Do you or any officer or partner have an active real estate license?
No
Yes, Name: ____________________________________
License #:_________________________________________
Signature of Applicant: _________________________________________________ Date:
Application fee is a one time fee provided membership is continuous. Dues are pro-rated quarterly as of date of application through
December 31 and are non-refundable. Please make checks payable to JTHS Association of Realtors.
JAN - MAR
APR - JUNE
JULY - SEPT
OCT - DEC
Application Fee:
$175.00
$175.00
$175.00
$175.00
Dues (Prorated):
250.00
187.50
125.00
62.50
Sub Total:
$425.00
$362.50
$300.00
$237.50
Adtl. Listing @ $50/ea.:
______
______
______
______
TOTAL:
$
$
$
$

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