Fillable Commercial New Agent Application

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Commercial New Agent Application

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The Commercial New Agent Application form is 4 pages long and contains:

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  • 30 check-boxes
  • 42 other fields

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PERSONAL INFORMATION PLEASE PRINT OR TYPE
First Name: ___________________________________________ MI _____ Last Name______________________________________________
Nick Name: __________________________________________ Date of Birth: ___________________________________________
Home address: ________________________________________________________________________________________________________
City: ________________________________________________________________________ State: _______ Zip Code: __________________
Home Phone: _______________________Cellular/Mobile: _______________________License #__________________________________
E-mail: ________________________________________________________ Web Site: ______________________________________________
License Type (check box): Salesperson Broker Salesperson
Were you previously a member of this or any other Realtor® Association? Yes No
If so, of what board were you a member?_________________________________________________________
Are you transferring from another Board? Yes No
If so, of what board were you a member? ________________________________________________________
If so do you have a SUPRA KEY through the board Yes No ________________ _______________
CARD# PIN#
FIRM INFORMATION
Firm Name: __________________________________________________________________________________________________________
Firm Address: ________________________________________________ City: ___________________ State: _______ Zip: ______________
Please indicate the division to which you belong:
Residential Commercial
Within the past three years have you been:
1. Yes No Adjudged in violation of any civil rights law, Federal, State or Local.
2. Yes No Disciplined by the Missouri Real Estate Commission or any other body in another state with similar responsibilities.
3. Yes No Adjudged in violation of any other laws prohibiting unprofessional conduct rendered by the courts or any other lawful
authorities
4. Yes No Suspended or expelled by any other REALTOR Board or Association.
5. Yes No Denied or refused membership in any other REALTOR Board or Association.
6. Yes No Have you ever been found in violation of the Code of Ethics, or is there an unsatisfied discipline pending, a pending
arbitration request or unpaid arbitration award/financial obligation to any other Association or Association MLS?
If yes, state basis for each such violation and detail the circumstances related thereto:_____________________________
________________________________________________________________________________________________________________
Please Note: Application Fees/Dues are Non-Refundable
St. Louis REALTORS
®
12777 Olive Blvd., St. Louis, MO 63141-2610
Office (314) 576-0033 Fax (314) 576-7143
Email: membership@stlrealtors.com
MEMBERSHIP APPLICATION
Firm address is the ACTUAL office from which the member works.
Give complete name as licensed with the Missouri Real Estate
Commission
✔
■
■
■
■
■
■
■
I agree as a condition of membership to attend the New Member Orientation and Ethics Courses of the above named
association within sixty (60) days. I also agree to thoroughly familiarize myself with the Code of Ethics of the NATIONAL
ASSOCIATION OF REALTORS, including the duty to arbitrate business disputes in accordance with the Code of Ethics and
Arbitration Manual of the Association and the Constitutions, Bylaws, Rules and Regulations of the Association, the State
Association and the National Association. I further agree that my act of paying dues shall be evidence of my initial and
continuing agreement to abide by the aforementioned Code of Ethics, Constitutions, Bylaws and Rules and Regulations,
Code of Fair Housing and duty to Arbitrate, all as from time to time amended. I further irrevocably waive all claims against
said Association, particularly as to its, or their, acts of electing or failure to elect, advancing, suspending, expelling, or
otherwise disciplining me as an applicant, or as a member. Upon the expiration of said membership for any cause, I will
discontinue to use the term “REALTOR
®
” and/or “REALTOR-ASSOCIATE
®
”.
IMPORTANT NOTICE
Dues payments are not deductible as charitable contributions for federal income tax purposes; however, dues may be
deducted as an ordinary business expense. The estimated non-deductible portion of your dues – that portion which is
allocated to lobbying - is as follows: Local Assessment (3%), MAR assessment (Designated REALTORS® $54.00 or 30% of
$180.00 which is the MAR Assessment less the IMPAC portion of $40.00 or REALTORS®/REALTOR® Associates $49.50 or 30% of
$165.00 which is the MAR Assessment less the IMPAC portion of $40.00), National Assessment ($44.00 or 36% of $120.00 which
is the National Assessment less the public awareness portion of $35.00) - the Public Awareness portion of $35.00 is fully
deductible.
“MEMBERSHIP IN THE ASSOCIATION REQUIRES THE APPLICANT TO SUBMIT DISPUTES TO BINDING ARBITRATION, WHICH MAY BE
ENFORCED BY OTHER MEMBERS”
By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS,
Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of
communication available. This consent applies to changes in contact information that may be provided by me to the
Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications
that I am waiving to receive all communications as part of my membership.
Applicant Signature: _______________________________________________________ Date: __________________________
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ST. LOUIS REALTORS®
12777 Olive Boulevard
St. Louis, MO 63141
PH: 314-576-0033
Fax: 314-576-7143
Credit Card Payment Form
I ________________________ hereby
authorize Saint Louis REALTORS® to
charge my VISA/MC/AMEX/DISC in the amount of $ ____________ .
(circle One)
_________________________________________________ _______________________
(Card Number) (Expiration Date)
_________________________________________________ ________________________
(Member Signature) (Date)
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For questions, please contact Karen Dunn at 314.590.2312 or kdunn@stlrealtors.com.
CLASS
INSTRUCTOR
DAY
DATE
TIME
New Member Orientation
Staff
Friday
February 14, 2020
1 p.m. – 4 p.m.
New Member Orientation
Staff
Friday
March 13, 2020
1 p.m. – 4 p.m.
New Member Orientation
Staff
Friday
April 10, 2020
1 p.m. – 4 p.m.
NEW MEMBER ORIENTATION
St. Louis REALTORS
®
12777 Olive Blvd. | St. Louis, MO 63141
Phone: 314.576.0033 | Fax: 314.576.7143
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Commercial New Agent Application

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Completed 30 July 2021

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