12131 113th Ave NE, Suite 101 I Kirkland WA 98034 I Ph. 800.275.2522 I www.commercialmls.com
CBA COMMERCIAL BROKERS ASSOCIATION LOGO MARK 6/2015
DARK BLUE - PANTONE 2965C ; ORANGE - PANTONE 7578C ; BLACK ; FONT: CENTURY GOTHIC REGULAR
For DOL recognized Real Estate Firms and Branches. Setup Fees: $350 CBA Firm and/or $85 Qualifying CBA Branch Office.
The setup fee does not include the first month’s dues and will be billed accordingly. See CBA fee schedule for monthly dues
amounts, including monthly branch fees. All membership dues/fees are billed directly to the CBA Member Firm only.
BROKERAGE/BRANCH
MEMBER APPLICATION
Section 1: New/Reinstated Office - - OR - - Existing CBA Office and adding a Branch Office (must complete Section 2)
Office Name
Office License Number (attach copy)
DB Email
Ofce Address City State Zip
Ofce Phone Ofce Fax
Billing Contact Billing Contact Email
Broker/Manager Signature Broker’s License Number (attach copy)
Print Name Date
Section 2: CBA Qualifying Branch Office Setup (must have same UBI number as CBA Member Firm above). Skip this Section if not applicable.
Branch Ofce Name
Branch License Number (attach copy)
Branch Manager Name Email
Ofce Address
City
State
Zip
Ofce Phone Ofce Fax
Check one: Applicant is a Corporation LLC Partnership Sole Proprietor
Applicant warrants that he/she is a licensed Real Estate Broker and has read and agreed to be bound by the Articles of Incorporation, Bylaws,
Rule
s and Regulations of COMMERCIAL BROKERS ASSOCIATION, as now in effect and as hereafter amended or changed, and agrees to fully
inform participating brokers thereof.
Broker is also aware that sharing CBA services with non-participating brokers will result in a minimum fine of $480 for each infraction.
As Designated Broker of the office, I authorize that this office qualifies for CBA Branch Office pricing. I understand that the Office listed in
Section 1 is responsible for all fees incurred by this branch office, and will be billed monthly for services. I have read and understand the
CBA Membership Dues/Fee Schedule. Please initial:
Check or Credit Card Number (Visa MC Amex) Expiration Date
Designated Broker Name
Return completed forms to memberservices@commercialmls.com for processing. Most applications are processed within 24 business hours.
Include all required forms to avoid delays. Membership information will be emailed to all users.
You must also complete the Broker Roster Form for all participating individuals, including the Designated Broker/
Manager listed above. Please note: Licencees may only join CBA through the office where their license hangs.
CVV Code
Credit Card Payment Information (select one only):
Pay Setup fee only
Name on credit card
Credit Card Full Billing Address (including City, State, State, Zip)
Pay Setup fee & Join AutoPay
By selecting AutoPay, credit card is charged
current
month's dues approximately the 15th of
each month. (Account is billed 1st of each month)
