Fillable NEW MEMBER APPLICATION

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NEW MEMBER APPLICATION

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The NEW MEMBER APPLICATION form is 4 pages long and contains:

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  • 32 check-boxes
  • 29 other fields

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File type: PDF

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4000 Rt. 66, One Hovchild Plaza, Suite 210, Tinton Falls, NJ 07753 p:732.918.1340 f:732.918.1906
NEW MEMBER APPLICATION
_____ MLS ONLY MEMBER
_____NEW PRIMARY MEMBER
_____NEW SECONDARY MEMBER
PERSONAL INFORMATIION
NAME (AS IT APPEARS ON YOUR REAL ESTATE LICENSE)
___________________________________ _________________________________________ ________________________________________
FIRST MIDDLE LAST
HOME ADDRESS ____________________________________________________________________________________________________
CITY _______________________________________ STATE ________________ ZIP ______________
COUNTY __________________________________
CELL NO. _______ / _______/_____________ EMAIL _____________________________________________________
RE LICENSE NO. _____________________________
DATE OF BIRTH ____________________ LANGUAGES SPOKEN ___________________________________________________________
COMPANY INFORMATION
NAME OF AGENCY ___________________________________________________________________________________________________
OFFICE ADDRESS (LOCATION OF THE OFFICE YOU WILL BE WORKING OUT OF)
STREET ___________________________________________________________ CITY ___________________________ ZIP ________
COUNTY ___________________________________
OFFICE PHONE NO.____________________
HAVE YOU HELD OR DO YOU HOLD MEMBERSHIP WITH ANOTHER REALTOR BOARD/ASSOCIATION?
YES _______ NO _______
IF YES ENTER YOUR NRDS NUMBER ________________________________________
BROKER SIGNATURE ___________________________________________ DATE______________________________________
Completed application and payment must be emailed to
membership@monmouthoceanrealtors.com. PLEASE NOTE WE
NO LONGER ACCEPT FAXED APPLICATIONS.
All fields are required and must be completed to be processed. The
fillable fields are only active in Chrome and Firefox. If you use another
Browser, print and fill out the form. Application must be signed.
MEMBER SIGNATURE ___________________________________________ DATE _____________________________________
Field of Business
(Please choose your primary field of business)
___ General/Residential Sales (MOST COMMON)
___ New Homes
___ Buyer Brokerage
___ Vacation Rentals
___ Condominiums
___ Second Homes
___ Manufactured Homes
___ Timeshare Sales
___ Property Management
___ Land Sales/Leasing
___ General Commercial Sales/Leasing
___ Office Sales/Leasing
___ Real Estate Office Admin Support Staff (licensed)
___ Residential Lots
___ Real Estate Office Admin Support Staff (not licensed)
___ Retail Sales Leasing
___ Association Office Assistant
___ Association Executive
___ Volunteer
___ Other
NEW MEMBER SIGNATURE PAGE
NAME: ___________________________
Monmouth Ocean Regional REALTORS Association Membership
I hereby apply for Membership in the Monmouth Ocean Regional REALTORS. I agree to
abide by the Association’s Constitution, By-Laws, Rules & Regulations and the Code of
ETHICS of the National Association of REALTORS and Multiple Listing Rules if
applicable. I hereby irrevocably waive any claims against the Association or any of its
Officers, Directors or Members for any act in connection with the business of the
Association and particularly as to its or their acts in electing or failure to elect,
advancing, suspending, expelling or otherwise disciplining me as an applicant or as a
member
________________________________ _____________________________________
(Date) (Signature)
Monmouth Ocean Regional MLS Membership
I hereby apply for participation in the Monmouth Ocean Regional Multiple Listing
Service and agree to abide by the Rules and Regulations of the Monmouth Ocean
Regional Multiple Listing Service. I hereby irrevocably waive any claims against the
Association or any of its Officers, Directors or Members for any act in connection with
the business of the Association and particularly as to its or their acts in electing or
failure to elect, advancing, suspending, expelling or otherwise disciplining me as an
applicant or as a member of the Monmouth Ocean Regional Multiple Listing Service.
________________________________ _____________________________________
(Date) (Signature)
4000 Rt. 66, One Hovchild Plaza, Suite 210, Tinton Falls, NJ 07753 p:732.918.1340 f:732.918.1906 monmouthoceanrealtors.com
Payment Information & Check List
Please include with your application
□ Completed applications with SIGNATURES
□ Check, Money Order or Credit
Card
□
A letter of good standing is required from your Realtor Board if you
are only joining the MLS.
Please make checks payable to Monmouth Ocean Regional REALTORS
®
Name __________________________________________________________
Credit Card Information: ____ VISA ____MC ____AMEX ____DISC
Card # __________ / __________ / _________ / __________
Exp. Date: ________________
Amount Paid: $____________ Signature: ________________________________
NOTE:
All necessary paperwork (with signatures) along
with your payment must be submitted together.
The omission of any documentation will delay the
processing of your application.
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NEW MEMBER APPLICATION

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Completed 12 April 2021

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