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NORTHSHORE AREA BOARD OF REALTORS
®
Chase Bank Center, 3500 Highway 190, Suite 210, Mandeville, LA 70471
Phone (985) 674-4233 www.nabors.org Office@nabors.org
PLEASE COMPLETE AND RETURN BOTH PAGES OF THIS FORM.
PLEASE PRINT DATE: /
COMPANY:
LOCAL ADDRESS:
Number & Street City, State, Zip
MAIN COMPANY CONTACT:
TITLE: See 2
nd
page to submit additional reps
COMPANY WEBSITE: _______________________
EMAIL: PHONE:
ANNUAL AFFILIATE MEMBERSHIP IS ONLY $250, PRO-RATED MONTHLY BELOW.
CHECK THE MONTH YOU ARE JOINING OR RENEWING MEMBERSHIP.
ANNUAL PRO-RATED PAYMENT WILL BRING YOU CURRENT UNTIL THE END OF 2019.
TOTAL AMOUNT SUBMITTED NOW ………..…………………… $
Check, payable to NORTHSHORE AREA BOARD OF REALTORS VISA _ MASTER CARD
Name as it appears on credit card:
Credit Card #: Expiration Date: Security #
Credit Card Billing Address:
Number & Street City, State, Zip
Authorization Signature:
Thank you for your generous support of the Northshore Area Board of Realtors!
NABOR AFFILIATE APPLICATION
BEING A NABOR AFFILIATE IS A COMPANY ASSOCIATION. ANNUAL MEMBERSHIP IS
NOT ASSESSED PER PERSON.
/_____
click to sign
signature
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