Transfer Application printable pdf download

G r e a t e r F o r t L a u d e r d a l e

REALTORS

GFLR East: 1765 NE 26th Street, Fort Lauderdale, FL 33305

GFLR West: 5850 Hiatus Road, Tamarac, FL 33321

Phone: (954) 563-7261 Fax: (954) 568-9695 Web:

Transfer Application

(Please Print Clearly)

I am currently a member in good standing with the REALTOR® Association of ________________________________________,

and I am applying to Greater Fort Lauderdale REALTORS® for transfer of my Membership and/or Multiple Listing Service.

Please Note: Remember to print, copy or save all Contacts and Saved Searches you currently have in the MLS

as these will not automatically transfer to GFLR. You may contact our MLS Team should you need any assistance.

MLS USER ID: _________________________________MLS PASSWORD: ____________________________

Name____________________________________________________________________Date of Birth________________

(Last)

(First)

(Initial)

Business Name ____________________________________________Broker’s Name _____________________________

Business Address_____________________________________________________________________________________

Business Phone _________________________________________ Business Fax _________________________________

Home Address_______________________________________________________________________________________

Contact Phone ________________________________________ Fax Number___________________________________

Email Address _______________________________________________________________________________________

Real Estate License No._________________________________ Last 4 digits of S.S.N.___________________________

Do you have a Supra Key ________Do you have Supra Lockboxes _______Do you have listings to be transferred _______

Dues are Non-refundable/Non- Transferrable

Dues are due annually - October 1

Check #_________________ in the amount of___________________ made payable to GFLR

Please charge $_______________to credit card # _______________________________________ Exp. Date _______________

( ) Visa ( ) MasterCard

( ) Amex ( ) Discover

Cardholder’s Name_________________________________________________________ (Please print)

Card Billing Address_____________________________________ City__________________________ Zip Code_____________

Cardholder’s Signature ____________________________________________________Date: _____________________________

Applications will only be processed by the Membership Dept. upon receipt of all required documentation, along with the applicable membership dues.

I agree to abide by the Code of Ethics, Constitution, Bylaws, MLS Rules and provisions of membership.

Applicant’s Signature: __________________________________________Date:_________________________

Print Name_________________________________________________________________________________

Fax this completed application to 954-568-9695 - Thank you for Choosing Greater Fort Lauderdale REALTORS®

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Transfer Application