2025- Brand New - Affiliate Membership Application Form

2025- Brand New - AFFILIATE Membership Application

To apply for 2025 affiliate membership please complete all the questions.
Affiliate Company Information
Company Name*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company Category*
If other, please specify
Company Website
Main Contact (Person to receive important information)*

First NameLast Name
E-mail*
example@example.com
Office Number*
Mobile Number*
Second Contact - Included

First NameLast Name
Email
example@example.com
Office Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Third Contact - Included

First NameLast Name
Email
example@example.com
Office Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Fourth Contact additional $50

First NameLast Name
Email
example@example.com
Office Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Fifth Contact - Additional $50

First NameLast Name
Email
example@example.com
Office Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Sixth Contact - Additional $50

First NameLast Name
Email
example@example.com
Office Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Billing Address

Use the address above.
The billing contact needs to be one the contacts above as they need to receive emails et cetera from our mass mailing!
Which contact is responsible for billing?*

Main ContactContact 2Contact 3Contact 4Contact 5Contact 6
Billing Name*

First NameLast Name
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Email*
example@example.com
Billing Phone Number*
Please enter a valid phone number.
How will you be paying? (Note we would prefer Cash/Check)*

CheckCashCredit/Debit Card
If you pay by credit/debit card, you will be charged the price below plus a 3% processing fee! For example, $200 for annual dues a 3 % processing fee for a total of $206*

Yes I understand and agree that I will pay the processing feeN/A as I am paying with either cash or check
Membership Options*
prevnext( X )
2026 Membership Only (Mar. 2026 -Feb. 2027)
Up to three individual members- Affiliate Directory Listing -Affiliate Wall Recognition -REALTOR® Briefing Subscription- Social Media Welcome Post- Members Only Events- Committee Appointment Eligibility -Member to Affiliate Connections & Networking

$200.00



Additional Affiliate Member
more than 3 contacts

$50.00 Quantity



Silver Sponsor Package
1 REALTOR® Briefing Ad | Golf Team | Golf Snack Sponsor | Holiday Gala Silver Sponsorship | Membership Appreciation Day Connection Sponsor --- $350 Savings

$900.00 Quantity



Gold Sponsor Package
1 SAR CE/Service Event | 4 REALTOR® Briefing Ads | Golf Team | Golf Hole Sponsorship | Holiday Gala Gold Sponsorship | Membership Appreciation Day Connection Sponsor --- $450 Savings

$1,500.00 Quantity



Diamond Sponsor Package
1 SAR CE/Service Event and 1 Month Forewarn advertising | 12 REALTOR® Briefing Ads | Golf Team | Golf Sponsorship (Choice of Cart or Water) |Golf Hole| Holiday Gala Diamond Sponsorship | Membership Appreciation Day Connection Sponsor --- $600 Savings

$2,500.00 Quantity



Total

$0.00
If you have a new logo please add a high resolution image

Please upload your company logo
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Date of Signature*

MonthDayYear
Date
Signature*

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By siging below, I certify I am an authorized representative of the above company and agree to be billed on behalf of the company for the dues and sponsorship packages selected. I understand that sponsorship packages are based upon availability and submission of this form does not guarantee the selected package will be granted and that any membership is not active until payment is processed.
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2025- Brand New - AFFILIATE Membership Application

Affiliate Company Information

The billing contact needs to be one the contacts above as they need to receive emails et cetera from our mass mailing!