Affiliate Membership Application
Company Name
*
Enter Full Address of Company
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Enter Full Name of Main Contact
*
First Name
Last Name
Email Address of Main Contact
*
Phone Number of Main Contact
*
Format: (000) 000-0000.
Company Type
*
Indvidual
Partnership
Corporation
DBA
What type of affiliate business? (Lender, Attorney, Inspector, etc.)
*
Would you like to add additional representatives to receive Association notifications? ($50 additional charge per individual)
*
Yes
No
How many would you like to add? ($50 per individual)
*
Full Name for Additional Rep 1
*
Email Address for Additional Rep 1
*
Full Name for Additional Rep 2
*
Email Address for Additional Rep 2
*
Inspector License?
*
Yes
No
License Number
*
Member of another Association?
*
Yes
No
Please select the other Association(s) in which you have membership.
*
Austin Board of REALTORS
San Antonio Board of REALTORS
Houston Board of REALTORS
Corpus Christi Board of REALTORS
Other
Submit
Should be Empty: