Affiliate Membership Application

Neuse River Region Association of REALTORS®

Affiliate Membership Application
Applicant Name:*

First NameLast Name
Email:*

Confirmation Emailexample@example.com
Cell:*
Please enter a valid phone number.Format: (000) 000-0000.
Company Name:*
Name(s) of Company Owner(s)
Company Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nature of Company Business:*
Business Website:
Main Company Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Reason for applying as a NRRAR Affiliate Partner:*
YesNo
If yes, who were you referred by:
YesNo
If so, what state and license #:
YesNo
YesNo
If so, please provide Board/Association name and membership type held:
Please attach your Business Logo and/or Headshot:

Cancelof
I, the undersigned, hereby apply for Affiliate Membership in the Neuse River Region Association of REALTORS® and am encouraged to abide by the principles established in the Code of Ethics of the National Association of REALTORS® and conduct my business and professional practices in accordance with the Bylaws of the Association. I do not engage primarily in the real estate business as defined for Membership in the Association’s Bylaws, but I do have an interest in acquiring information concerning real estate and am in sympathy with the objective of the Association. I irreversibly waive all claims against the Association or any of its Office, Directors, or Members for any act in connection with the business of suspending, expelling, or otherwise disciplining me as an applicant or a member. By signing below, I consent that NRRAR and their subsidiaries may contact me by means of the contact information listed above. This consent applies to contact changes that may be provided by me to the associations(s) in the future. I have read and agree with the terms and conditions presented above.
Signature*

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Date*

MonthDayYear
Date
Payment required to process Application. Fees and Dues: SELECT CURRENT MONTH
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Affiliate Application Fee
One-time fee: As long as you remain an active member in good standing.

$150.00



FULL Annual Dues
Full annual dues

$285.00



Pro-rated Annual Dues
FEBRUARY

$261.25



Pro-rated Annual Dues
MARCH

$237.50



Pro-rated Annual Dues
APRIL

$213.75



Pro-rated Annual Dues
MAY

$190.00



Pro-rated Annual Dues
JUNE

$166.25



Pro-rated Annual Dues
JULY

$142.50



Pro-rated Annual Dues
AUGUST

$118.75



Pro-rated Annual Dues
SEPTEMBER

$95.00



Pro-rated Annual Dues
OCTOBER

$71.25



Pro-rated Annual Dues
NOVEMBER

$47.50



Pro-rated Annual Dues
DECEMBER

$23.75



MLS Application Fee
One-time fee: As long as you remain an active member in good standing. An additional application is required.

$1,000.00



Total

$0.00
Affiliate Member Application Fee: $150.00
One-time fee: As long as you remain an active member in good standing.

Pro-Rated Annual Dues:
January $285.00
February $261.25
March $237.50
April $213.75
May $190.00
June $166.25
July $142.50
August $118.75
September $95.00
October $71.25
November $47.50
December $23.75

Optional MLS Access: $1,000.00
One-Time Application Fee: As long as you remain an active member in good standing.
+ $25.00/month

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Neuse River Region Association of REALTORS®