APPLICATION FOR AFFILIATE MEMBERSHIP

 

 

            I hereby apply for membership in the Evergreen Conifer Association of REALTORSâ, and I am enclosing my check in the amount of $ ___________ which is to be returned to me in the event of non-acceptance of the application by the Board of Directors.  I understand that if approved into membership, the amount enclosed will be the total amount of dues required for membership from the date of this application to the end of the current fiscal year.  (The fiscal year runs from September 1 – August 31.)  I further acknowledge that this membership does not permit me to use the term “REALTORâ” on any certificates, signs, seals, letterheads or any other indication of membership in the Association, the Colorado Association of REALTORSâ or the National Association of REALTORSâ.  I also acknowledge that I am not entitled to vote on any REALTORâ matters.

 

Applicant’s Signature  _______________________________________  Today’s Date  _________

 

 


I herby submit the following information for Evergreen Conifer Association of REALTORSâ membership consideration:

Please print legibly

 

Name:  _____________________________________________  Nickname  __________________

 

Employing Company:  _____________________________________________________________

 

Address:  ________________________________________________________________________

 

City/State/Zip:  ___________________________________________________________________

 

Mailing Address (if different than above):  _____________________________________________

 

City/State/ZIP:  ___________________________________________________________________

 

Social Security #  _________________________________________________________________

 

Phone:  ____________________  Fax:  ____________________  Email:  ____________________

 

Are you licensed in Real Estate?  Please check one:  ___Yes  If so, what state?  ________  No  ___