2021 Affiliate Membership Application

SOUTHWEST LOUISIANA ASSOCIATION OF REALTORS

APPLICATION FOR 2021 AFFILIATE MEMBERSHIP
Company Name: *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Prime Contact Name: *
Prime contact is responsible for alerting their office staff of updates/invites from SWLAR office.
Email Address (Prime contact) *
example@example.com
Office Phone *
Please enter a valid phone number.
Type of Business: *
Web address: *
Please attach your logo

Cancel of
Are you licensed with the Real Estate Commission? *

Yes No
Have you previously held membership in any other real estate board/association? *

Yes No
If yes, please state association name:
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 agree that, if accepted for Membership in the Association, I shall pay the fees and dues as established.
Initial Here *

Clear
I hereby apply for Affiliate Membership with the SOUTHWEST LOUISIANA ASSOCIATION OF REALTORS, I agree to pay ($300), in the form of a check or online payment which can be found at the end of this form, which is to be returned to me in the event of non-membership.
In the event of my membership, I agree to abide by the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS, and the Constitution, Bylaws, and Rules and Regulations of the SOUTHWEST LOUISIANA ASSOCIATION OF REALTORS, the Louisiana Realtors Association, and the Affiliates Guidelines furnished by the Board. Stay up to date with all affiliate info by liking the “SWLAR Affiliates” Facebook page.
Dated: *

Month Day Year
Date
Signature *

Clear
The first or second Thursday of each month is an Affiliates meeting. They will be held in the Conference Room at the SWLAR office.
Each affiliate will have the opportunity to sponsor events throughout the year being notified through emails by SWLAR office. Optional: Affiliate to participate in Mini Expo and classroom time.
Please provide the email address for four (4) additional contacts from your office that will engage as sponsors. The contacts you provide will be the only people from your office that will be able to attend events. In such case of an employee change, the primary contact may contact SWLAR in writing to make known the changes. If the contact person leaves the company and your membership was paid by the company, then the company can appoint a new contact in your place.
Additional sponsorship opportunities: Please check those that you would like the opportunity to sponsor. (Events indicated by ** below will have $125 sponsorship and tickets to the event will be available for purchase)
Installation and Awards Banquet (Dec 2021) **

Yes No Unsure
Lunch & Learn: 4 or more per year

Yes No Unsure
LARPAT Auction (April 2020) excludes financial institutions

Yes No Unsure
Real Estate Invasion (September 2021) **

Yes No Unsure
Fair Housing (TBA)

Yes No Unsure
An Affiliate can request membership of the SWLAR Affiliate’s throughout the calendar year; the rate is not pro-rated. Renewal contracts will not be automatically renewed. SWLAR will send annually a new contract to each of the current Affiliate members; Affiliates must complete and return to SWLAR with payment. If SWLAR office does not have BOTH and contract payment the Affiliate will not be considered in good standing or on the roster of Affiliates.
Main Contact
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Contact # 2
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Contact # 3
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Contact # 4
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Contact # 5
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
An Affiliate can request membership to the SWLAR Affiliate’s throughout the calendar year; the rate is not pro-rated. Renewal contracts will not be automatically renewed. SWLAR will send annually a new contract to each of the current Affiliate members; Affiliates must complete and return to SWLAR with payment. If SWLAR office does not have BOTH contract and payment the Affiliate will not be considered in good standing or on the roster of Affiliates.
Payment Form
Membership Fee
Installation and Awards Banquet (Dec 2021)
Real Estate Invasion (September 2021)
Total
How would you like to pay *

Credit card (3.4%+$0.25 processing fee) ACH/Bank Transfer(has a 1% fee upto max $10 processing fee Paper Check
Total with processing fee
Payment Information
Card Holder Name *
Billing Address *

Street Address

Street Address Line 2

City State

Zip Code
Credit Card Number *
Expiration Date *
CVC Code *
Account Type *

Personal Business
Account Type *

Checking Savings
E-Check # *
Name *
Routing # *
Account # *
If you are paying by paper check you must write "affiliate application" followed by the application number in the memo section of your check. Your application will not be processed without having that in the memo field. You can either mail the check to 791 Bayou Pines E, Lake Charles, LA 70601 or you can come by the office and drop it off, we always love to see you.
Application #
Please verify that you are human *
Should be Empty:

SOUTHWEST LOUISIANA ASSOCIATION OF REALTORS

Main Contact

Contact # 2

Contact # 3

Contact # 4

Contact # 5

Payment Form

Payment Information