APPLICATION FOR REALTOR®/REALTOR-ASSOCIATE®
MEMBERSHIP |
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To the HELENA ASSOCIATION OF REALTORS® INC, I hereby apply for REALTOR®/REALTOR-ASSOCIATE®
Membership in the above named Board and will provide my payment in
the amount of $150.00 for a one time application
fee and my 2010 Dues payable
to HELENA ASSOCIATION OF REALTORS® INC. ($397.67 for REALTOR®).
My 2010
dues will be returned to me in the event of non-election. Application
fee is nonrefundable. I will attend orientation within 1
days of Association’s confirmation of provisional membership.
Failure to meet this requirement may result in having my membership
terminated. In the event of my election, I agree to abide by the Code
of Ethics of the National Association of REALTORS®, which includes
the duty to arbitrate, and the Constitution, Bylaws and Rules and
Regulations of the above named Board, the State Association and the
National Association, and if required, I further agree to satisfactorily
complete a reasonable and non-discriminatory written examination on
such Code, Constitutions, Bylaws and Rules and Regulations. I understand
membership brings certain privileges and obligations that require
compliance. Membership is final only upon approval by the Board of
Directors and may be revoked should completion of requirements, such
as orientation, not be completed within timeframe established in the
association’s bylaws. I understand that I will be required to
complete periodic Code of Ethics training as specified in the association’s
bylaws as a continued condition of membership.
NOTE: Applicant acknowledges that if accepted
as a member and he/she subsequently resigns from the Board or
otherwise causes membership to terminate with an ethics complaint
pending, the Board of Directors may condition renewal of membership
upon applicant’s certification that he/she will submit to
the pending ethics proceeding and will abide by the decision of
the hearing panel. If applicant resigns or otherwise causes membership
to terminate, the duty to submit to arbitration continues in effect
even after membership lapses or is terminated, provided the dispute
arose while applicant was a REALTOR®/REALTOR-ASSOCIATE®.
* = required field.
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| *First Name:
Middle Name:
*Last Name:
Suffix:
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| *Email Address:
*Real Estate License
#:
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| Licensed/certified appraiser:
Yes
No
Appraisal License #:
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| *Office Name:
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| *Office Address:
City:
State:
Zip:
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| *Office Phone:
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Office Fax:
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| *Home Address:
City:
State:
Zip:
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| Home Phone:
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Personal Fax:
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| Cell Phone:
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| *Preferred Publication:
Home
Office Street
Office Mail Alternate
Member Mail Alternate |
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| *Preferred
Mailing:
Home
Office Street
Office Mail Alternate
Member Mail Alternate |
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| *Preferred Phone:
Home
Office
Cell |
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| Are you presently a member of any other Association of REALTORS®?
Yes
No |
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| If yes, name of Association and type of membership held:
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| Have you previously held membership in any other Association of
REALTORS®?
Yes
No |
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| If yes, name of Association and type of membership held:
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| Please enter NRDS number if known:
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| Have you been found in violation of the Code of Ethics or other
membership duties in any Association of REALTORS® in the past
three (3) years or are there any such complaints pending?
Yes
No |
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| How long with the current real estate firm?
(years/months). |
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| Previous real estate firm (if applicable):
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| Number of years engaged in the real estate business:
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Field of Business (Specialties)
1.
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Field of Business (Specialties)
2. |
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Field of Business (Specialties)
3. |
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Field of Business (Specialties)
4. |
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Languages spoken: click here to view all languages to select |
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| If you are a principal, partner, corporate officer
or branch office manager you must complete the following information: |
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| Company Information:
If other please specify:
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| Position:
Name of other Partners/Officers of your firm:
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| Have you ever been refused membership in any other Association
of REALTORS®?
Yes
No |
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| if yes, state the basis for each such refusal and detail
the circumstances related thereto: |
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| Is the Office Address, as stated, your principal place of
business?
Yes
No |
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If not, or if you have any branch offices, please indicate
and give address:
Address:
City:
State:
Zip:
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| Do you hold, or have you held, a real estate license in
any other state?
Yes
No |
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| If so, where: |
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| Have you or your firm been found in violation of state real
estate licensing regulations within the last three years?
If yes, provide details: |
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| Have you or your firm been convicted, adjudged, or otherwise
recorded as guilty by a final judgment of any court of competent
jurisdiction of a felony or other crime. If yes, provide details:
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| I hereby certify that the foregoing information furnished by me
is true and correct, and I agree that failure to provide complete
and accurate information as requested, or any misstatement of fact,
shall be grounds for revocation of my membership if granted. I further
agree that, if accepted for membership in the Board, I shall pay
the fees and dues as from time to time established. NOTE:
Payments to the HELENA ASSOCIATION OF REALTORS® INC are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary
and necessary business expense. No refunds. |
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| By clicking “I Agree”, I consent that the REALTOR®
Associations (local, state, national) and their subsidiaries, if any
(e.g., MLS, Foundation) may contact me at the specified address, telephone
numbers, fax numbers, email address or other means of communication
available. This consent applies to changes in contact information
that may be provided by me to the Associations(s) in the future. This
consent recognizes that certain state and federal laws may place limits
on communications that I am waiving to receive all communications
as part of my membership. |
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I Agree |
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