HARA Affiliate Membership Registration

Hilliard Area Realty Association -

Affiliate's registration and check

payment form and Breakfast Sponsor

Option.

Affiliate membership - Dues are $35.00

Name*

Company name*

Cell Phone Number*

Primary E-mail address*

Business Category Drop-Down*

Contact Association if your business type is not listed.

Website - if unavailable enter NA*

Business Street address*

City*

State*

Zip code*

Company Phone Number*

My Membership Pledge*

I agree to support this Association by my attendance and participation. I further agree to abide by the BY LAWS/Regulations (http://hilliardareara.org/) set forth by the membership. I also understand that the Hilliard Area Realty Association is a non-profit organization originated to foster business relationships and make charitable contributions. My participation in sponsored events, including weekly home tours, is voluntary and I agree to hold the Hilliard Area Realty Association harmless in the event of any accident or injury I sustain through my participation.

MEMBERSHIP OPTIONS*

Affiliate annual membership $35.00 - $3.00 paid at the meeting.Website Sponsor AD - $50.00Annual prepaid $101.00

Check Number*

Total Amount*

Select Breakfast Meeting Sponsor Date Preference - Must be a member.

Date

Reminder - After submitting your application online bring your E-mail verification along with your check to the next meeting for membership authentication.

Please verify that you are human*