WBCBR Affiliate Application
Thank you for your interest in becoming a Board Affiliate Member. We look forward to working with you!
Personal Information
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Company Information
Do you have an active real estate license?*
*
Yes
No
Name and Email
*
Company Name
Company Email
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nature of Company Business
*
Reason for applying as a WBCBR Affiliate Partner
*
Referred by WBCBR Member?
*
Yes
No
If Yes, please indicate the state and your license #:
*
Will you require access to MLS or a Lockbox? (If yes, MLS membership/fees may be required)
*
Yes
No
Are you a member of any other Board/Association
*
Yes
No
If so, please provide Board/Association name and membership type held.
I, the undersigned, hereby apply for Affiliate Membership in the Washington Beaufort County Board 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 WBCBR 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
*
Date
*
-
Month
-
Day
Year
Date
Fees & Dues
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Application Fee
One-time fee
$
150.00
Quantity
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10
Item subtotal:
$
0.00
January
$
215.00
Quantity
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2
3
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7
8
9
10
February pro-rated
$
197.09
Quantity
1
2
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4
5
6
7
8
9
10
Item subtotal:
$
0.00
March pro-rated
$
179.18
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
April pro-rated
$
161.27
May pro-rated
$
143.36
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
June pro-rated
$
125.45
Quantity
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10
Item subtotal:
$
0.00
July pro-rated
$
107.54
Quantity
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2
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7
8
9
10
August pro-rated
$
89.63
Quantity
1
2
3
4
5
6
7
8
9
10
September pro-rated
$
71.72
Quantity
1
2
3
4
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6
7
8
9
10
October pro-rated
$
53.81
Quantity
1
2
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7
8
9
10
November pro-rated
$
35.90
Quantity
1
2
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7
8
9
10
December pro-rated
$
17.99
Quantity
1
2
3
4
5
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9
10
Payment Methods
Choose from one of the PayPal options to
make your payment.
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