APPLICATION FOR REALTORâ MEMBERSHIP

EVERGREEN CONIFER ASSOCIATION OF REALTORSâ

 

Mail:  PO Box 399, Evergreen, CO 80437                 Address:  26290 Hwy 74, Kittredge, CO 80457

Phone:  (303) 674-7020                                                     Fax:  (303) 674- 5717

Date:  __________________

I, the undersigned, hereby apply for membership as

 

______________  Designated REALTORâ (sole proprietor, partner, or corporate officer of real estate or appraisal firm)

______________  REALTORâ (licensed real estate agent or broker, or licensed appraiser)

______________  Secondary REALTORâ  (primary membership with another Board/Association)

 

in the above-named Association and enclose my check in the amount of $ ______________ , which I understand will be returned to me in the event I am not accepted for membership.  In the event my application is approved, I agree as a condition of membership to complete the indoctrination course of the above-named Association and to thoroughly familiarize myself with the Code of Ethics of the National Association of REALTORSâ, INCLUDING the duty to arbitrate business disputes in accordance with the Arbitration Manual of the Association and the Constitution, Bylaws, and Rules & Regulations of the above-named Association, the State Association and the National Association, and I further agree to complete satisfactorily a reasonable and nondiscriminatory written examination covering such Code, Constitution, Bylaws, Rules & Regulations and duty to arbitrate.  I further agree that my act of paying dues shall evidence my initial and continuing commitment to abide by the aforementioned Code of Ethics, Constitution, Bylaws, Rules & Regulations and duty to arbitrate, all as from time to time amended.  Finally, I consent and authorize the Association, through its Board of Directors or otherwise, to invite and receive information and comment about me from any member or other person, and I agree that any information and comment furnished to the Association by any member or other person in response to any such 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.

 

NOTE:  Applicant acknowledges that if accepted as a member and he/she subsequently resigns or is expelled from membership in the Association with an Ethics complaint or arbitration request pending, the Board of Directors may condition renewal of membership upon the applicant’s verification that he/she will submit to the pending Ethics or arbitration proceeding and will abide by the decision of the hearing panel; or if applicant resigns or is expelled from membership without having complied with an award in arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any costs that have previously been established as due and payable, in relation thereto, provided that the award and such costs have not, in the interim, been otherwise satisfied.

 

I hereby submit the following information for your consideration:  PLEASE PRINT

 

Ms.   __ Mrs. __

Miss __ Mr.   __      Name as shown on license  ________________________________________________   Nickname_______________________

 

Social Security # ____________________ Date of Birth __________________Office ID # ___________________  Fax # _____________________

Real Estate License # ________________ Expiration Date ________________Appraiser License #______________Expiration date______________

Company Name:  _________________________________________________________________________________________________________

Office Address :   _________________________________________________________________________________________________________

                                                           (Street)                                                                     (Suite or Other)

________________________________________________________________________________________________________________________

                       (City)                           (State)                              (ZIP Code)          (Area Code)  (Phone)                  (Cell Phone #)

 

Residence Address________________________________________________________________________________________________________

                                                             (Street)                                                                     (Suite or Other)

 

_______________________________________________________________________________________________________________________

                       (City)                             (State)                              (ZIP Code)            (Area Code) (Phone)

 

E-mail address:  Office___________________________________         Web site address:  _____________________________________________

                           Personal _________________________________         Personal _____________________________________________________

 

                     

               FOR ASSOCIATION USE ONLY                                                          INDUCTED OR REINSTATED:

Date Association Received __________________________                               ______________________________________________________________

Dues Received____________________________________                                                                                   (Date)

Application Fees Received __________________________

New Office Fee  __________________________________                                                              Approved by Board of Directors:

MLS Application Fee  _____________________________

Published in Pulse  ________________________________                                 _____________________________________________________________

CAR Ethics Course Paid  ________  Scheduled  _________                                                                                 (Date)

CAR Ethics Course Attended  _______________________                                            

Scheduled Orientation  _____________________________                                                            Reported to State and National:

Attended Orientation  ______________________________                                 _____________________________________________________________

Designated Realtor Interview  ________________________                                                                                  (Date)

NRDS #  ________________________________________                                                         

NRDS Office #  ___________________________________                        Computer Entry:  ______________________________________________

 

In what phase of real estate do you specialize?        ________   Residential    ________   Commercial     _________ Appraiser

                                                                                  ________   Property Management            ________     Builder/Developer 

How many years have you been active as a Salesperson?  ______  Broker?  ______   Appraiser?  _______   Other?  ______

First licensed in this state  (Month)  ____________  (Year)  ____________ , and continuously licensed since (Month) _______  (Year)  ________

Have you previously held membership in any other Real Estate Association?              _______  Yes    _______  No

If “Yes”, name each such Association, type of membership held and dates establishing the time period for which membership was held

_____________________________________________________________________________________________________________________

Have you paid REALTORâ dues to another Association of REALTORSâ this current year?       _______  Yes       _______  No

Name of Board/Association  ______________________________________________________________________________________________

Are you under disciplinary action or pending action in another Association of REALTORSâ?       _______  Yes       _______  No

If “Yes”, explain  _______________________________________________________________________________________________________

______________________________________________________________________________________________________________________

Occupation prior to Real Estate  ______________________________  Areas of Expertise  _____________________________________________

                OPTIONAL – NOT REQUIRED FOR MEMBERSHIP

                Political Party Registered with:  (Please check)                                  Voting District (Please specify)  _____________________________

                Republican  ________  Democrat  __________  Unaffiliated  _________

VISA / MASTERCARD Number  ______________________________________________    Expiration Date  ____________________________

 

FOR ALL APPLICANTS:    I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership if granted.  I agree that, if accepted for Membership in the Association, I shall pay the fees and dues as from time to time are established.

 

Signed:  ___________________________________________________________       Date:  ______________________________

APPLICANTS FOR SECONDARY MEMBERSHIP ONLY  (This portion to be completed and signed by the Association Executive or Elected Secretary of your primary Board / Association):

 

I certify that  _________________________________________________ is a REALTORâ Member in good standing

 

at the             _________________________________________________ Board / Association of REALTORSâ

 

___________________________________________________

CEO / Association Executive / Secretary                          

 

APPLICANTS FOR DESIGNATED REALTORâ

 

My position with the firm noted herein is:     _____ Principal          _____Partner          _____Corporate Officer

                                                                        _____ Trustee             _____ Employee    _____ Independent Contractor

 

If other than above, please explain:

__________________________________________________________________________________________________________________

Names and Titles of other Principals, Partners, Corporate Officers, or Trustees of this firm:

__________________________________________________________________________________________________________________

I maintain my escrow or trustee account at:  __________________________________________________________________________________________________________________

I understand and agree that as Designated REALTORâ of the above-named real estate office or appraisal office named herein, I am fully responsible for all dues and fees for services that I request and receive prior to completing the Association’s required membership application process.  I also understand and agree that if accepted for membership, I will pay all dues and fees as are from time to time established, and that the total amount of dues for which I will be personally and individually liable and responsible, as Designated REALTORâ of the firm or office named herein, shall be in such amount as established annually by the Board of Directors for myself, plus an among times the number of real estate licensees or certified appraisers employed by or otherwise affiliated with my firm or office who are not themselves REALTORâ members of the Association.  I further understand that if I apply for participation in the Multiple Listing Service that I as Designated REALTORâ an individual member of the Multiple Listing Service and as the participant am responsible for all dues and fees for MLS Service.
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Payments to Evergreen Conifer Association of REALTORSâ are not deductible as charitable contributions for federal income tax purposes; however, they may be deductible under other provisions of the Internal Revenue Code.