INSTRUCTIONS
1. Please download, fill, save, and electronically submit this application to assistant@slrealtors.com.
2. You can include payment information above, or we will email payment instructions to you after we receive your application.
3. When payment is confirmed and authorized, we will send a welcome email with important membership information.
PLEASE SELECT YOUR APPLICATION TYPE (Explanations provided on page 2)
Join as a NEW MEMBER TRANSFER to a new brokerage
Join as a NON-MEMBER
SECTION 1 REALTOR® INFORMATION
HAVE YOU EVER BEEN A MEMBER OF A REALTOR® ORGANIZATION BEFORE? Yes No
(IF YES) PREVIOUS REALTOR® ASSOCIATION NAME: _______________________________________________________________________________
NATIONAL REALTOR® (NRDS) #: _____________________________ UT DIVISION OF REAL ESTATE LICENSE #: _______________________________
SECTION 2 PERSONAL INFORMATION
FIRST NAME: ____________________________ MIDDLE NAME: _____________________ LAST NAME: __________________________________
PHONE: ____________________________________________ HOME CELL WORK OTHER
EMAIL ADDRESS: _____________________________________________________________ BIRTHDATE: __________________________________
HOME ADDRESS: __________________________________________________________________________________________________________
CITY: ________________________________________ STATE: ____________________________ ZIP: ________________________________
LANGUAGES SPOKEN: English Spanish Mandarin Other: __________________________________________
GENDER: Male Female Non-binary VETERAN: Yes No
SECTION 3 BROKERAGE INFORMATION
COMPANY NAME: _________________________________________________________________________________________________________
BROKER NAME: ___________________________________________________________________________________________________________
If transferring or terminating:
PRIOR COMPANY NAME: ____________________________________________________________________________________________________
PRIOR BROKER NAME: ______________________________________________________________________________________________________
230 W. Towne Ridge Parkway, Ste. 100, Sandy, Utah 84070 Phone: 801-542-8840 Email: assistant@slrealtors.com REALTOR APPLICATION
Payment Type: VISA MC AMEX DISC
Card Number:
Expires: _______ /_________
_________________________________________
CARD HOLDER SIGNATURE
REALTOR® APPLICATION
Key No key
Join as a SECONDARY MEMBER
REACTIVATE my inactive membership
TERMINATE my membership
TRANSFER from another board
INACTIVATE my membership ($75 annual fee)
230 W. Towne Ridge Parkway, Ste. 100, Sandy, Utah 84070 Phone: 801-542-8840 Email: assistant@slrealtors.com REALTOR APPLICATION
I agree to complete the required Code of Ethics and Realtor Essentials courses (if applicable), as well as any other course the Board may
require, within 60 days of joining the Board, or as otherwise specified by the Membership Department. I acknowledge that failure to
complete all required courses will result in the termination of my membership and forfeiture of my dues and application fee.
I agree to become familiar with the Code of Ethics, as well as the bylaws of the Salt Lake Board of Realtors®, which can be found on the
Board website. I will also familiarize myself with the rules and regulations of the Utah Association of Realtors® and the National Association
of Realtors®. The annual renewal of my membership shall indicate my continued commitment to abide by the aforementioned standards
as they are amended from time to time.
I acknowledge that if I become a Board member and then subsequently resign, or cause my membership to be terminated, with an ethics
complaint pending, future reactivation may be conditioned upon my compliance with any ethics hearing determinations.
I acknowledge that if I become a Board member and then subsequently resign, or otherwise cause my membership to be terminated, the
duty to submit to arbitration continues in effect even after my membership resignation/termination, provided the dispute arose while my
membership was active.
I agree to pay my annual renewal dues each June, in the amount specified to me by the Board. I understand that dues are subject to review
and possible change annually. I recognize that dues are non-refundable, and that once paid, they become the property of the Board. If I do
not renew, or my membership is terminated, I will immediately cease to represent myself as a Realtor®.
I understand that the termination of my membership for non-payment of annual dues (or for any other reason) will result in a $350 re-entry
fee to be paid upon possible future reactivation with the Board.
I consent that the Salt Lake, Utah, and National Association of Realtors® and their subsidiaries, may contact me using the information
provided on this form, or by other available means of communication. This consent extends to possible future changes in contact
information. I waive any limits placed on communication by certain state/federal laws in order to receive all membership communications.
APPLICANT SIGNATURE: ____________________________________________________________
DATE: _________________________
EXPLANATION OF APPLICATION TYPES
NEW MEMBER: You cannot currently have (or have ever had) a Realtor® membership with any association in the United States. New members pay a
$450 entry fee along with their prorated new member dues. Please contact Board staff for current membership pricing.
SECONDARY MEMBER: You must be a primary member of another Realtor® board or association and provide a dues waiver from your primary board
along with this application. If your primary board is outside of Utah, your secondary membership could require payment of state and local dues. If
your primary board is in Utah, you would only need to pay local dues.
NON-MEMBER: If a broker is a member of a Realtor® association, all agents in their office must be members as well. Joining as a non-member fulfills
the broker’s requirement without paying full membership dues. Non-members do not have access to any Board benefits, may not represent
themselves to the public as Realtors®, and cannot use the Realtor® logo in any advertising.
REACTIVATE: If you put your membership on “inactive” status by paying the $75 inactive fee, and have been inactive for 3 years or less (paying $75
each year), you will only need to pay prorated dues to reactivate. No re-entry fee will be required. If you terminated your membership or allowed it
to expire, you will need to pay a re-entry fee of $350 along with prorated dues.
INACTIVATE: You may place your membership oninactive” status for up to three years. This requires you to either inactivate your license or place it
with a non-member brokerage. A $75 fee is required at the time of inactivation and each subsequent year (up to three years total).
TERMINATE: You or your broker may terminate your membership at any time, but dues are non-refundable. If this form is not submitted, but your
annual dues are not paid, your membership will be terminated automatically. If your license remains active with a member brokerage after
membership termination, your broker will be charged a Non-Member fee. To rejoin the Board in the future, you must turn in this form (choose
REACTIVATE) and pay a re-entry fee of $350 in addition to prorated dues.
TRANSFER brokerages: It is your responsibility to keep the Board informed of all office transfers and personal information changes. Once your
changes have been recorded with the Utah Division of Real Estate, submit this form to us, and we will make the changes (no fees required). Make
sure to update your information with the MLS as well.
TRANSFER boards: If you are transferring an active membership from another Realtor® association, you must provide a dues waiver from your current
board. We will waive the entry fee, and your prorated dues will be determined according to the dues waiver provided by your current board.
MEMBERSHIP AGREEMENT
If my application is approved, I, the undersigned, agree to the following (please initial each box):