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 __________, 200__ Signed by:______________________ FEE SCHEDULE FOR ALLIED MEMBERSHIP (No Inititation Fee Required) ANNUAL DUES for Primary member $150.00 (prorated quarterly) ANNUAL DUES for Additional Members: $50.00 (per member, prorated
quarterly) Return Application to:
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