I hereby apply for MLS membership in the Space Coast Association of REALTORS®. I understand that application fees and dues are non-refundable.
In the event of election, I agree to abide by the Code of Ethics of the National Association of REALTORS®, which includes the duty to arbitrate, and the
Constitution, Bylaws and Rules and Regulations of the Space Coast Association, the State Association and the National Association, and if required, I
further agree to satisfactorily complete a reasonable and non-discriminatory examination on such Code, Constitutions, Bylaws and Rules and Regulations.
I understand membership brings certain privileges and obligations that require compliance.
I am a member of the____________________________________ Association. A LETTER OF GOOD-STANDING MUST BE ATTACHED.
AGENT INFORMATION: (Please Print) OFFICE INFORMATION: (Please Print)
Name _________________________________________ Office Name ______________________________________
Address _______________________________________ Office Address ______________________________________
City _____________________ State ____ Zip _______ City __________________________ State ____ Zip _______
Cell Phone ______________________________ Office Phone ________________________________
Social Security # (Last 4 Digits Only) ______________ Office Fax __________________________________
(REQUIRED)
E-Mail Address ________________________________ Office NAR ID ______________________________________
Agent License # ___________________ ___ Office DBPR Business Number__________________________
Agent NAR ID ________________________ Web Address _______________________________________
Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS in the past three
(3) years or are there any such complaints pending? _____ NO _____ YES (If “YES” provide details as an attachment.)
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 other misstatement of fact, shall be grounds for revocation of MLS if granted. I further agree that I shall
pay the fees and dues as from time to time established. NOTE: Payments to the Space Coast Association of REALTORS® are not
deductible as charitable contributions. Such payments may, however be deductible as an ordinary and necessary business expense. All
moneys received for dues, fees, fines, initiation, or other assessments owed to the association are the property of the Association and
are non-refundable.
By signing below, I consent that the REALTOR® Associations (local state, national) and their subsidiaries, if any may contact me at the
specified address, telephone numbers, fax numbers, e-mail address, text message 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.
I understand my application fee and dues are NON-REFUNDABLE.
DATE:____________________ Signature:________________________________________________________
Designated Brokers: There is a one-time processing fee of $300.
MLS Subscribers: There is a one-time processing fee of $150 as long as you remain a PAID member in good standing.
(Lapse in membership will require the subscriber to pay the $150 processing fee for each reinstatement.)
FEE SCHEDULE for MLS ACCESS – (Fees are $92 per Quarter, Prorated Monthly)
