National Association of Real Estate Brokers, Inc Membership ApplicationWestern Washington Realtist ChapterThe under signed hereby applies for admission as a member of the National Association of Real Estate Brokers, Inc͘ and subscribes to the Code of Ethics and Constitution & By-Laws governing the same andagreeing to be subject to them they now exist or as they may be hereafter amended. The applicant agrees to pay the membership fees for the division to which he/she is an applicant and as designated in schedule belowDate *Format: mm/dd/yyyySignature of Applicant *Your browser does not support e-Signature field.Name & Business Contact InformationPrefixMr.Mrs.Ms.Mx.MissDr.Prof.Applicant First Name *Applicant Middle NameApplicant Last Name *Birth date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Business Name *Business Email Address *AddressAddress TypeBusinessHomeStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabwePhonePhone TypeBusinessPersonalFaxPhoneBusiness TypeAre you a citizen of United States?YesNoHow long have you been a professional broker?< 1123456789101112131415161718192020+Select number of yearsAre you a broker?YesNoReal Estate of Professional License # *Please provide your Real Estate affiliate Profession *What profession did you follow prior to Real Estate? *Is your principal business Real Estate?YesNoAre you a member of any other Real Estate organization?YesNoDo you have a Business website?YesNoName of Additional Organization(s) *Website *Annual National Membership DuesMembership Roles Individual Broker Members - shall be Only Real Estate Designated or Managing Broker OWNERS who are certified by a local board or by individual membership approved by the Board of Directors and shall have one (1) vote in all annual meetings. Sales Associate Members - shall be those Real Estate Brokers or Managing Brokers whose Designated or Managing Broker Owner is a member of WWR and shall have one-half (1/2) vote in all annual meetings. Allied Associate Member - shall be those Real Estate Brokers or Managing Brokers whose Designated or Managing Broker Owner is NOT a member of WWR and shall have one-half (1/2) vote in all annual meetings. Allied Members - shall be those individuals, loan/mortgage officers, title companies, associations, organizations, co-partnerships, and corporations engaged in business allied to real estate and shall have one-quarter (1/4) vote in all annual meetings Membership Level *Individual Broker Members - $215Sales Associate Members - $135Allied Associate Members - $135Allied Members - $185Select your membership levelAre you joining YRD?NoYesThe Young Realtist® Division NoticeATTENTION INTERESTED YRD MEMBERS To become a YRD member, you must complete the YRD Seattle Membership Application below. Click the YRD link below, it will open in a separate tab. After you complete and submit this WWR application, proceed to the YRD member application, where you can also pay the $50 fee. Again, it will open in a separate tab. Your WWR YRD application will not be final until you complete this step. After you submit your YRD application, please respond back to our membership email, Membership@wwrealtist.org, so we can confirm your membership. YRD Membership Application WWR Membership TeamMembership Dues TotalSubmit ApplicationPlease do not fill in this field.