VIP Application

VITAL INDUSTRY PARTNER (VIP) MEMBER APPLICATION
Type a question*

Primary Industry PartnerSecondary Industry Partner
Date*

MonthDayYear
Date
Name of Organization*
Company website*
Please select your primary field of business. You may choose up to two selections.*

Accountant/CPAAttorneyAuctioneerBookkeeperBuilder/Developer - CommercialBuilder/Developer - ResidentialComputers - Hardware Sales/Service/RepairFinancial ServicesGeneral AppraisalHome InspectorHome Repair Contractor or SupplierHomeowner InsuranceHomeowner Warranty SalesInternet MarketingMember Benefits/Services VendorMortgage Banker or BrokerMortgage Loan Originator/ProcessorPhotographyReal Estate LawReal Estate Products SupplierReal Estate TaxationRelocationResort SpecialistTechnical SpecialistTermite InspectorTitle Insurance Agent or RepresentativeTrainer/Instructor/EducatorVendor
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Phone*
Cell Phone*
Fax
Preferred Phone Number*

OfficeCell
Member Person*
Date of Birth*

MonthDayYear
Date
E-mail address*
example@example.com
Member Position*
MEMBER SIGNATURE*

Clear
SunBiz Document # or Listing Name*
How would you like us to communicate with you? Check all that apply:*

MailEmailTextPhone Call
OSCAR REALTOR®*

YesNo
Non-Member REALTOR®*

YesNo
Real Estate Licensee*

YesNo

We understand that this Category of Membership DOES NOT permit the use of the REALTOR® Designation or the REALTOR® Logo. We further affirm that we are not engaged in the brokerage of real estate property.

OSCAR INDUSTRY PARTNER DUES are payable by check or credit card.

Membership Duration	Primary Base Membership	Secondary Membership
12 Months	$250.00	$30.00

Industry Partner Members are listed, along with their telephone number, fax number, company logo, and address on the Osceola County Association of REALTORS® Roster, which is distributed to all members of the Association. To be eligible for Secondary Industry Partner Membership, the applicant must be employed with the same office as a current Primary Industry Partner. Primary partners consist of 1 member of the company; each additional member of the company will be considered as a secondary partnership. Company logos must also be provided for our website. Logo must be at least 250x250 pixels, resolution: at least 300 dpi, and the format must be JPG or PNG. A transparent image is preferred.

Make checks payable to OSCAR. If paying by credit card, please call (407)846-0117 to make payment.
**Vital Industry Partner dues are non-refundable**
1105 Cross Prairie Parkway, Kissimmee, FL 34744

Phone 407-846-0117 • Fax 407-846-0217

www.OsceolaRealtors.org
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VITAL INDUSTRY PARTNER (VIP) MEMBER APPLICATION