salisbury rowan association of realtors

SRAR® Application for Affiliate Membership

I hereby apply for Affiliate membership in the Salisbury/Rowan Association of REALTORS®, Inc., the NORTH CAROLINA ASSOCIATION OF REALTORS®, and the NATIONAL ASSOCIATION OF REALTORS®. I am mailing my check for fees in the amount of
$, which is to be returned to me in the event of non-election. In the event of my election, I agree to abide by the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS®, and the Constitution, Bylaws, and Rules and Regulations of the above named Association, the State Association, and the National Association, and if required, I further agree to satisfactorily complete a reasonable and non-discriminatory written examination of such code, Constitution, Bylaws, and Rules and Regulations. I consent that the Association, through its Membership Committee or otherwise, may invite and receive information and comment about me from any member or other person. I further agree that any information and comment furnished to the Association by any person in response to the invitation shall be conclusively deemed to be privileged and not form the basis of any action by me for slander, libel, or defamation of character.
I hereby submit the following information for your

Name Miss Mrs. Ms. Mr.
Residence Address City State Zip
Resident here since (Date)	Previous residence (Date)
Home Phone: Cell Phone: Email address:

Name of Firm Currently Active Through
Office Street Address City State Zip Phone
Office Mailing Address City State Zip Fax

(State Association files will be set up with this mailing address only. If your business telephone number changes, please notify your Association Executive immediately).

Type of Business Office Website:
Check Type of Association with Current Firm: Individual DBA Partnership Corporation
My title or position with the firm:

Applicant authorizes Salisbury/Rowan Association of REALTORS® to contact the following references:

(Name)	(Address)	(Phone)
(Name)	(Address)	(Phone)

This section to be completed by Association Executive at Salisbury/Rowan Association of REALTORS®

State Association Dues: REALTOR®, Affiliate Members ___$130.00___Annually.
National Association Dues: REALTOR®, Affiliate Members ____$80.00____Annually plus___$35.00___Annual Image Campaign Assessment (NotProrated monthly).
Acceptance as a member of the State Association automatically extends membership to the National Association.

I agree to pay the established fees as long as I remain a member of this Association, and understand that the present fees are:
Initiation fee: Affiliate Member $411.00* ($250.00 Initiation Fee)

*It is understood that this application and the fees stated include membership in the National Association of REALTORS® and North Carolina Association of REALTORS® for Primary Members.

Application for Affiliate Membership: Personal Data

Place of Birth (City) (State)	Date Of Birth (Month) (Day) (Year)
Established @ present company (Year)	Previous company (Year)
Membership in professional societies, fraternal orders, service organizations, Board of REALTORS®, etc:

Are you currently a member of any other local association/board? Yes No

If Yes, what is your Office & Agent NRDS #s?

Have you previously held membership in any other local association/board? Yes No

If yes, name/location of association/board: from to

Will you serve on state or local committees (if appointed)? Yes No

Committee preference:

Any other comments:

Dues payments to the Salisbury/Rowan Association of REALTORS® are not tax deductible as charitable contributions. Portions of such payments may be deductible as ordinary & necessary business expense. Dues are not refundable.

I agree to the terms of this document and that the above information is accurate.
Yes