Word Pro - SK- WSA- MEMBERSHIP APPLICATION



|NAIREB Membership Application |

| |

|Check One |

|. . . . . . . . . . . . . . . . . . . . . . Ten Year Membership - $220 (US) |

|$22 Per Year ~ Save $68 Per Year |

|Qualifies for all Member benefits, including consideration for leadership positions in the association, beginning with Local Chapter Leadership. |

|All Ten Year Members ARE Featured on our State Chapter & City websites. |

| |

|Note: All New Ten Year Members are also considered for the Featured New Member on our National website. |

|. . . . . . . . . . . . . . . . . . . . . Five Year Membership - $150 (US) |

|$30 Per Year ~ Save $60 Per Year |

|Qualifies for all Member benefits, including consideration for leadership positions in the association, beginning with Local Chapter Leadership. |

|All Five Year Members ARE Featured on our State Chapter website. |

| |

|Note: All New Five Year Members are also considered for the Featured New Member on our website. |

|. . . . . . . . . . . . . . . . . . . . . . Three Year Membership - $129 (US) |

| |

|Qualifies for all Member benefits, including consideration for leadership positions in the association, beginning with Local Chapter Leadership. |

| |

|. . . . . . . . . . . . . . . . . . . . . . . One Year Membership - $90 (US) |

| |

|Qualifies for Basic Member benefits, excludes leadership positions and consideration as NAIREB’s Featured New Member of the month. |

|Full Name: ________________________________________________________________ |

|Company: _________________________________________________________________ |

|Mailing Address: ___________________________________________________________ |

|City: __________________________ State: ___________________ Zip: ____________ |

|Country: __________________________________________________________________ |

|Main Phone: __________________________ Alt. Phone: __________________________ |

|E-mail: ____________________________________________________________________ |

|Referring Source: ___________________________________________________________ |

|Sponsor (Optional): __________________________________________________________ |

|NAIREB Membership Questions |

|Is this a renewal membership application, first time membership application or a membership information update? **Required |

|You understand that local membership is optional and local dues are paid directly to Local Chapters where established. State Chapter membership is included with your |

|NAIREB membership. |

|**Required Yes No |

|You understand that applications are subject to the approval of the NAIREB Executive Council. (Declined applicants who are Independent Real Estate Brokers or Agents |

|will receive a full refund.) |

|**Required Yes No |

|You understand the longer memberships receive the most benefits, including: Ten year and Lifetime Members are featured on NAIREB’s website for their city or major metro|

|area (based on each member’s selection). If you are the first Ten year or Lifetime Member from your city or major metro area. Five year, Ten year and Lifetime Members|

|are also featured on the NAIREB state chapter’s website. **Required |

|Yes No |

|Are you an Independent Real Estate Broker/Agent? NOTE: Memberships will NOT be approved for Brokers/Agents who are members of any Real Estate franchise, i.e., Century |

|21, Caldwell Banker, GMAC, KW, Prudential, RE/MAX, etc.? **Required |

|Yes No |

|Are you a licensed Real Estate Broker or Agent? **Required |

|Yes No |

|In what state(s) do you hold Real Estate license(s)? **Required |

| |

| |

|Are you a Real Estate Salesperson/Agent? (If you are not an Independent Real Estate Broker, you must be a Salesperson/Agent with an Independent Real Estate Company to |

|join NAIREB.) |

|Yes No |

|What year did you become a licensed Real Estate Broker? **Required |

| |

|What year did you become a licensed Real Estate Salesperson/Agent? **Required |

| |

|If you are the Broker Owner, what year did you start your company? |

| |

|What is the name of you Real Estate Company (or the Real Estate Company that holds your license)? **Required |

| |

|What is the official address of your Real Estate Company or the Real Estate Company that holds your Real Estate license? This address will be promoted on your NAIREB |

|website. **Required |

| |

|What telephone number(s) would you like us to promote on your NAIREB website? (Maximum of three numbers. Please, identify your numbers as Office, Cell, Home, etc.) |

|**Required |

| |

|What email address would you like us to promote on your NAIREB website? **Required |

| |

|If your office is not located in a major city, please let us know the closest major city to your city. |

|(This information will be used on your Membership Website.) **Required |

| |

|NAIREB wants to promote your membership webpage in ways that best meets your needs. Would you prefer that your website be promoted more under your local city, your |

|major metro area or your state? **Required |

| |

|How did you learn about NAIREB? **Required |

| |

|If you were invited to join NAIREB by Personal Invitation, please tell us the name of the person who told you about NAIREB. |

| |

|If you discovered NAIREB through a search engine, please let us know the name of the search engine. |

| |

|Please let us know the words you used for your search, if you discovered NAIREB through a search engine. |

| |

|If you learned about NAIREB by “Other”, please let us know how you learned about NAIREB. |

| |

|If you have a Real Estate business website, please let us know your website address: (This information will be used on your Membership Website. ~ NOTE: Non-Real Estate |

|websites will not |

|be listed.) |

| |

|Are you willing to place a link to the NAIREB website on your personal/business website? **Required |

|Yes No |

|Are you a member of the REALTORS ® Associations? **Required |

|Yes No |

|If you are a member of the REALTORS ® Associations (National, State & Local), what year did you join? |

| |

| |

| |

|If you are a member REALTORS ® Associations, what is the most important benefit to your business that they offer? |

| |

|If you are a member of the REALTORS ® Associations, what is the SECOND most important benefit to your business that they offer? |

| |

|Are you a member of a local, state or regional association of Independent Real Estate Brokers (Not including state or local REALTORS’ ® Associations)? **Required |

|Yes No |

|If you’re a member of another Independent Real Estate Brokers Association, please let us know the name(s) of the association(s): |

| |

|Would you be interested in serving on or starting a “Local Chapter Development Team”? (Currently, to be considered for chapter leadership, members must have a three |

|year, five year, ten year or Lifetime memberships and be member of the National Association of REALTORS.) **Required |

|Yes No |

|Would you be interested in teaching a tele-class for our Members? (Promote yourself as a Real Estate Trainer.) |

|Yes No |

|If you are interested in teaching a tele-class, what topic(s) would you like to teach? |

| |

|Are you approved to teach Continuing Education in your state? (This question is just for our records, so we can consider you when we sponsor CE Classes.) |

|Yes No |

|You understand that if you are selected as the Featured New Member of the Month that all of your contact information will be promoted on the internet including your |

|name, company name, address, phone number, email, website, etc. The same information will also be promoted on your Membership web page and may also be promoted as |

|determined by NAIREB. **Required |

|Yes No |

|You understand and give your permission for the National Association of Independent Real Estate Brokers to market and promote you and your company on the Internet and |

|anywhere else, as decided by the NAIREB. **Required |

|Yes No |

|I understand that NAIREB does not give access to members contact information to anyone, except on a “need to know” basis, as defined by the National Board of Directors |

|and communicated by the Executive Director. (This is done to protect our member database and our members’ privacy from unauthorized vendors, spam and other undesirable|

|contact.) **Required |

|Yes No |

| |

| |

| |

|If you have earned Real Estate Professional Designations, please let us know the designations you currently hold. |

| |

|NAIREB offers Conference Classes (informative training classes on the telephone). What day/time would be the best for you to attend these classes? |

| |

|NAIREB works with Real Estate Associations including the American, Asian, Black, Discount and Hispanic Real Estate Brokers Associations. For your FREE membership to |

|one of these associations, please select below: **Required |

|American Real Estate Brokers Association |

|Asian Real Estate Brokers Associations |

|Black Real Estate Brokers Associations |

|Discount Real Estate Brokers Associations |

|Hispanic Real Estate Brokers Associations |

|None of the Above |

|NAIREB is considering offering a second FREE membership as a benefit to our members. If we add this benefit, what second FREE association membership would you select? |

|**Required |

|American Real Estate Brokers Association |

|Asian Real Estate Brokers Associations |

|Black Real Estate Brokers Associations |

|Discount Real Estate Brokers Associations |

|Hispanic Real Estate Brokers Associations |

|None of the Above |

|NAIREB is considering offering a free one on one coaching session as a benefit to members. If we add this benefit, would you be interested in a free coaching session? |

|**Required |

|Yes No |

|Does your company offer “discounted”, ala carte or unbundled real estate services? **Required |

|Yes No |

|Are you interested in doing Short Sales? **Required |

|Yes No |

|Have you ever had a complaint filed against you or your company with the State Attorney General, Real Estate Commission, Board of Realtors or the Better Business |

|Bureau? (If Yes, NAIREB must complete an investigation concerning any complaints before applications can be considered.) |

|**Required Yes No |

|Are you or any member of your family the owner of, partner in or an employee of a mortgage company, title company, law firm or other service vendor for Real Estate |

|Brokers/Agents or companies? **Required Yes No |

|If yes, please list company names, names of persons, titles with companies’, companies’ addresses, companies’ phone numbers and websites. |

| |

|OPTIONAL MEMBERSHIP PROGRAM: Do you agree to pay a 25% referral fee on each closed sell from Buyer and/or Seller Referrals that are sent to you through NAIREB’s |

|National Relocation & Referral Network? This is an optional program for NAIREB Members. If you select this option, this is a legal agreement between you, NRRN & |

|NAIREB. All referral fees must be post marked & mailed to the NRRN within 5 days after closing. **Required |

|Yes No |

|How many Real Estate Brokers/Agents have their license(s) held by or assigned to your company? |

|**Required 1 |

|2-10 |

|11-50 |

|51+ |

|You know when you recommend other Brokers or Agents who join NAIREB; your membership will be extended by one year per new Member. (Your new Members can put your name |

|on their application or you can let us know about your referral by sending an email to MemberServices@). **Required |

| |

|Are you a male or female? **Required |

| |

|You understand that membership approval and completion of membership web pages generally take between 14 – 30 days. **Required |

|Yes No |

|NAIREB networks with several Professional Speakers & Trainers Associations. Sometimes they allow us to give away memberships or discounts. Do you speak professional, |

|offer training professional or aspire to do Professional Speaking or Training? |

| |

|Email your application to MemberServices@ |

|or you can mail by U.S. Mail to: |

|NAIREB |

|7102 Mardyke Lane |

|Indianapolis, IN 46226-1804, USA |

|You’ll Receive An Invoice By Email, Unless Your Check Is Enclosed. |

|Membership fees for new members are subject to change without notice. |

|Current members will be given 60 days’ notice about changes in membership fees. |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download