Walton Barrow membership application

REALTOR^® APPLICATION

To the Walton-Barrow Board of REALTORS^®, I hereby apply for REALTOR® Membership in the above named Board. In the event of my election, I agree to abide by the Code of Ethics of the National Association of REALTORS^®, which includes the duty to arbitrate, and the Constitution, Bylaws and Rules and Regulations of the above named Board, the State Association and the National Association, and if required, I further agree to satisfactorily complete a reasonable and non-discriminatory written examination on such Code, Constitutions, Bylaws and Rules and Regulations. I understand membership brings certain privileges and obligations that require compliance. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements, such as orientation, not be completed within timeframe established in the association’s bylaws. I understand that I will be required to complete periodic Code of Ethics training as specified in the association’s bylaws as a continued condition of membership.

NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant’s certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.

I hereby submit the following information for your consideration:

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Real Estate License Number: *

Preferred mailing: *

Home

Office

Company Name: *

Company Address: *

City: *

State: *

Zip Code: *

Date of Birth: *

Web Address:

Gender

Foreign Language:

I am applying as: (please select one) *

2022 Dues are $463 without RPAC or $488 with RPAC and are prorated monthly. Once dues have been paid, they are NON-REFUNDABLE.

2022 Secondary Dues are $180 without RPAC and are prorated monthly. Once dues have been paid they are NON-REFUNDABLE.

If applying for Secondary membership, please list your Primary Board: *

Company License number: *

Are you presently or at any time been a member of another Association of REALTORS? *

Yes

No

If yes, name of Association? *

Please indicate your NAR (NRDS) number: *

Have you paid your 2022 state and national membership dues with another board of REALTORS? *

Yes

No

If you have paid 2022 dues with another board, is it a board located out of the state of Georgia? *

Yes

No

Month assigned to Firm. If company has a NON-REALTOR side of the business this is the month that you placed your license with the REALTOR side of the business: *

Month assigned to Firm. *

Number of years in Real Estate business:

Have you been in violation of the Code of Ethics or other membership duties in any association of REALTORS in the past 3 years or are there any such complaints pending? Yes, provide details and an attachment *

Yes, provide details and an attachment

No

If yes, please provide details and attachment

Last date (year) of completion of NAR's Code of Ethics training requirement: ( If you have not taken the Ethics class/Orientation, then you agree to take the required class within 90 days of this application.

Would you like to contribute $25 to RPAC? *

REALTORS® Political Action Committee (RPAC) has promoted the election of pro-REALTOR® candidates across the United States. The purpose of RPAC is clear: your voluntary contribution is used to help elect candidates who understand and support our interests, no matter what political party. The REALTORS® Political Action Committee and other political fundraising are the keys to protecting and promoting the real estate industry by ensure legislation passes which is favorable to our industry.

If paying by check, please print application and mail along with check made payable to Walton Barrow Board of REALTORS: P O Box 1143, Monroe, GA 30655

APPLICATIONS WILL NOT BE PROCESSED UNTIL CHECKS HAVE BEEN RECEIVED

All REALTOR® Members are required to complete a REALTOR® Code of Ethics course during the three year period that ends December 31, 2024. Failure to complete the course by that date will result in suspension until course completion, regardless of the status of dues payment. Suspension of services includes all board, state association and NAR dues-based services.

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 further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from time to time established. NOTE: Payments to the Walton-Barrow Board of REALTORS® are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. No refunds.

By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership.

Date: *

Agent Signature: (Please type name in field) *