Affiliate Membership Application Form

2026 AFFILIATE Membership Application

To apply for 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
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 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.
Membership Options*
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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 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 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 Package1 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
Date of Signature*

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Date
Signature*

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2026 AFFILIATE Membership Application

Affiliate Company Information