Membership Cancelation Form

Membership Cancelation Form
WHAT MEMBERSHIP ARE YOU NEEDING TO CANCEL?*

CANCEL MEMBERSHIP WITH SWLARCANCEL MEMBERSHIP WITH MLS
Effective Date*

MonthDayYear
Date
Type of membership canceling1*

PrimarySecondaryMLS Only
Type of membership canceling*

REALTOR(Will Make MLS Inactive Also)MLS Only
Realtor Information
Name*

First NameLast Name
LREC License #*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email*
example@example.com
Firm*
What company are you with
Broker Email*
example@example.com
Reason for Cancelling *
Your Signature*

Clear
Broker Signature*

Clear
Once you complete the form you will need your broker to sign it. To do this....
1. Click "Save"
2. At the bottom of the pop up Click "Skip create an account"
3. Click "Get Shareable Link"
4. Compose an email and paste the link to your broker letting them know that they need to click the link, sign, and hit submit.
Your broker MUST hit the submit button or we will not receive it.
Should be Empty:

Realtor Information