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 Year212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923Business Name *Business Email Address *AddressAddress TypeBusinessHomeStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican 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 Sales Associate - shall be those individuals who hold a license under a member Real Estate Broker as a salesperson and shall have one-half (1/2) vote in all annual meetings. Brokers/Agents of Broker Member Individual Broker - shall be a licensed broker who is 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. Designated & Managing Brokers Allied Associate - shall be those individuals who hold a license under any non-member Real Estate Broker and shall have one-half (1/2) vote in all annual meetings. Broker/Agent whose DB or MB is not a member Allied Members - shall be those individuals, 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 *Sales Associate Members - $135Individual Broker Members - $215Allied Associate Members - $135Allied Members - $185Select your membership levelAdd YRD to your WWR membership?YRD Member - $50Young Realtist Division Membership FeeMembership Dues TotalSubmit ApplicationPlease do not fill in this field.
