Processing of your application will be expedited if you follow the procedure outlined. Incomplete applications will be returned.
Training Fee and Pro-rated Dues as set by the Board of Directors, payable to South Shore Realtors® must accompany application
(Refer to Dues Invoice Document).
For Realtors® membership: Copy of Current Broker or Salesperson’s License.
For Secondary Membership: Letter from the Secretary of the Primary Board/Association stating that the applicant is a current
member in good standing.
As soon as your completed application is received, your name will be published in accordance with the Bylaws for the approval of the
general membership. Upon satisfactory completion of all requirements, your application will be voted upon by the Board of Directors.
Training Fees and REALTOR® Dues are Not Refundable.
Are you a member of any other real estate association whether or not affiliated with the National Association of REALTORS®?
__
Yes
__
No If yes, name of association and dates
Have you previously held membership in any other real estate board/association? __ Yes __ No If yes, name the Association
and dates of membership:
______________________________________________________________________________________________________
Have you ever been refused membership in any other real estate board? __Yes __ No If yes, state basis for each such refusal and
detail the circumstances related thereto.
In what areas of real estate do you specialize? ____________________________________________________________________
Have you participated in a Multiple Listing Service? __Yes__ No If yes, where?
Do you hold, or have you ever held, a real estate license in any other state? ___Yes__ No If yes, where?
Has your real estate license, in this or any other state, been suspended or revoked? __ Yes __No
If yes, specify the place(s) of such action, and detail the circumstances related thereto below:
___________________________________________________________________________________________________________
Are there now, or have there been within the past five years, any complaints against you or the firm with which you have been
associated before any state real estate regulatory agency or any other agency of government?___Yes ___No. If yes, specify the
substance of each complaint in each state, the agency before which complaint was made, and the current status or resolution of such
complaint.
Have you ever been convicted of a felony?
__
Yes
__
No If so, give details below:
I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and
accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership if granted. I further
agree that if accepted for membership in the Association, I shall pay the fees and dues as from time to time establish
ed. NOTE:
Payments to South Shore Realtors® are not deductible as charitable contributions. Such payments may, however, be deductible as an
ordinary and necessary business expense. By signing, I agree to the terms and conditions as well as acknowledge that all
Membership Fees and Dues are non-refundable.
Signature:
Print:
Date: