Affiliate Membership Application Form

AFFILIATE Membership Application

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company Catagory
If other, please specify
Main Contact

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 Adress

Use the address above.I want to specify a different billing address.
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.
By siging below, I certify I am an authorized representative of the above company and agree to be billed ion befhald of the company for the dues and sponsorship packages selected. I understand that sponsorship packages are based upon availability abd submission of this form does not guarentee the selected package will be granted and that any membership is not active until payment is processed.
Membership Options
prevnext( X )
2024 Membership OnlyThis option is for membership for the remainder of 2024. Up to 3 contacts| Website Directory Listing | SAR Board Office Recognition | REALTOR®️ Briefing Subscription | Social Media Shoutout |Committee Appointment Eligibility | Member to Affiliate Connections & Networking
$200.00



2024-2025 MembershipThis option includes 2024 dues and automatic renewal of 2025 dues. Up to 3 contacts| Website Directory Listing | SAR Board Office Recognition | REALTOR®️ Briefing Subscription | Social Media Shoutout |Committee Appointment Eligibility | Member to Affiliate Connections & Networking
$300.00 Quantity



Additional Affiliate Membermore 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 Package1 CE Course | 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 Package2 CE Courses | 12 REALTOR®️ Briefing Ads | Golf Team | Golf Sponsorship (Choice of Cart or Water) | Holiday Gala Diamond Sponsorship | Membership Appreciation Day Connection Sponsor --- $600 Savings
$2,500.00 Quantity
Date of Signature*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Logo Upload

Please upload your company logo
Cancelof
Should be Empty:

AFFILIATE Membership Application

Affiliate Company Information