Application for Affiliate Membership

Please enter all fields below to accurately apply for affiliate membership to the North Shore – Barrington Association Of Realtors®.

This application must be accompanied by one year´s dues prorated for the calendar year. Membership in the Illinois Association of REALTORS ® is voluntary. It includes Illinois Realtor magazine and invitations at members´ prices to conventions and meetings. If you don´t wish to join IAR, pay the NSBAR dues only.

Dues (All dues are non–refundable once reported to IAR/NAR)

Application Received	NSBAR Dues ONLY	State Dues	Total Dues
Jan/Feb/March	$175.00	$35.00*	$210.00
Apr/May/Jun	$131.25	$26.25*	$157.50
Jul/Aug/Sep	$87.50	$17.50*	$105.00
Oct/Nov/Dec	$43.75	$8.75*	$52.50

*Voluntary

* (Required Information)

* Firm Name
* Representative
Name as You Wish It to Appear on The Roster	(By typing my name, I intend this to be my electronic signature and consent as requested by this form)
Birth Date (11/30/1970)
* Email Address
Web Page
* Title/Position
* Business Address
* City
* Zip Code
* Business Phone
* Residence Address
* City
* Zip Code
Cell Phone
Additional Fax

* Dues Choice
In What Business are you Engaged?
For How Long?
Is the Business in which you are connected a:
Have you ever held membership with NSBAR?
Have you ever been a member of another Realator board/ Assoc?
If Yes, Who
State the name of any board/assoc. you currently hold membership/

I hereby submit application for Affiliate membership in the North Shore–Barrington Association of REALTORS ® , in accordance with the North Shore–Barrington Association of REALTORS ® bylaws currently in effect.

I agree to abide by all provisions of the bylaws and other published regulations of the Association in force and as enacted or amended from time to time.

I consent that the Association, through its Membership Committee or otherwise, may, from the date of filing of the application and until final acceptance or rejection, invite and receive information and comment about me from any member or other person.

I agree that any information and comment furnished to the Association by any person in response to such invitation shall be conclusively deemed to be privileged and not form a basis of any action for slander, libel defamation of character or other tort.

I waive all claims against the Association, its officers, directors and employees arising out of any act in connection with this application.

Affiliate Membership shall be real estate owners and other individuals or firms who, while not engaged in the real estate profession, have interests requiring information concerning real estate and are in sympathy with the objectives of the Association.

* I understand that by providing my mailing address, email address, telephone number, and fax number, I consent to receive communications sent by or on behalf of the North Shore – Barrington Association of REALTORS® (and its subsidiaries and affiliates) via regular mail, email, telephone, or fax. I understand that NSBAR will not share my address/email/telephone/fax with other organizations but will with other members of NSBAR.

Affiliate membership is for people who do NOT hold either a real estate or appraisal license, whose business is real estate related, such as mortgage brokers, banks, inspectors, home repair, attorneys, etc. Affiliates are NOT allowed MLS ACCESS, only those people holding REALTOR® membership may have access to MLSNI.

After your application is accepted for membership, your name/business/log/website link will be added to our Partners list on
www.nsbar.org.

If you do not get an email confirmation of this application please contact NSBAR by phone 847-480-7177.

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