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.
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.
Reason for applying as a NRRAR Affiliate Partner:*
We're you referred by a NRRAR Member:*

YesNo
If yes, who were you referred by:
Do you have an active Real Estate license:*

YesNo
If so, what state and license #:
Will you require MLS or LockBox access: (If yes, MLS membership/fees may be required)*

YesNo
Are you a member of any other Board/Association:*

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
prevnext( X )
Affiliate Application FeeOne-time fee: As long as you remain an active member in good standing.
$150.00



FULL Annual DuesFull annual dues
$285.00



Pro-rated Annual DuesFEBRUARY
$261.25



Pro-rated Annual DuesMARCH
$237.50



Pro-rated Annual DuesAPRIL
$213.75



Pro-rated Annual DuesMAY
$190.00



Pro-rated Annual DuesJUNE
$166.25



Pro-rated Annual DuesJULY
$142.50



Pro-rated Annual DuesAUGUST
$118.75



Pro-rated Annual DuesSEPTEMBER
$95.00



Pro-rated Annual DuesOCTOBER
$71.25



Pro-rated Annual DuesNOVEMBER
$47.50



Pro-rated Annual DuesDECEMBER
$23.75



MLS Application FeeOne-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

Please click one of the PayPal options to complete payment and submit the form.

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Neuse River Region Association of REALTORS®