Allied Membership Form

Name of Applicant: ______________________________

Name of Company: _______________________________

Company Address: _______________________________

City: ___________________ State:_____________ Zip:_____________

Mailing Address: _______________________________

City: ___________________ State:_____________ Zip:_____________

Phone:_____________ Fax:__________ Cell:___________

Company Email address:_________________ Company Web Site:_____________

Nature of Business:______________________________

Do you have a North Carolina Real Easte License? ___Yes ____No License#___________

I, the undersigned, hereby apply for Allied membership in the Duplin-Sampson Board of REALTORS, Inc. and am encouraged to abide by the principles established in the Code of Ethics of the NATIONAL ASSOCIATION of REALTORS and conduct my business and professional practices in accordance with the bylaws of the Association. I do not engage primarily in the real estate business as defined for Membership in the association's bylaws, but I do have an interest in acquiring information concerning real estate and am in sympathy with the objectives of the Association.

I irreversibly waive all claims against the Association or any of its Officers, Directors, Members for any act in connection with the business of suspending, expelling, or otherwise disciplining me as an applicant or a member.

This application is submitted on the ___ day of __________, 20___

Signed by:______________________

FEE SCHEDULE FOR ALLIED MEMBERSHIP (No Initiation Fee Required)

ANNUAL DUES - $150.00 

Return Application to:
Duplin-Sampson Association of Realtors
P.O. Box 355, Warsaw, NC 28398

©2012 Duplin-Sampson Association of Realtors
Web Site Management by Venue Communications, Inc.