Montgomery County Association of REALTORS®

Montgomery County ASSOCIATION of REALTORS®, INC
3031A Walton Rd., Suite 302, Plymouth Meeting PA 19462
610-260-9931 / Fax: 610-260-9951 / Web: www.mcarealtors.org / E-Mail: services@mcarealtors.org

Affiliate Membership Application

INSTRUCTIONS: This application form is designed for you to fill out, click on the 'Print Preview' and then print the filled-out form on your personal printer to mail into MCAR. The application must be signed and accompanied by payment. To request the amount of the Membership Fee, email MCAR at services@mcarealtors.org.

The undersigned applies for admission as an Affiliate member of the Montgomery County Association of REALTORS®, Inc (“MCAR”)., and once approved, agrees to abide by the Constitution, Bylaws, Policies and Procedures of the Association, accepting and agreeing to be subject to all of them as they now exist or as they may be hereafter amended.

The applicant agrees to pay the membership dues at the signing of this application and yearly thereafter, as long as he/she is a Member of said Association. Nonpayment of said dues will result in the termination of membership in the Association and all rights and privileges thereof.

Company Name:
Company Address:
Phone:
Fax:
Email:
URL:
Type of Business:
*Please check here if you would like an active link to your website for an additional nominal fee.
If Partnership indicate all partner names with senior Partner first:

If Corporation, please list names and positions of the Officers of the Corporation:

Chartered in what State?:

Business Classification: (Your company and its� member representative will be listed on the MCAR website according to the classification indicated below)
Appraisal Bank Construction Education Financial and/or Insurance
Home Maintenance Inspection Mortgage Professional Services
Publication Title Other (specify)

Member Representative Name (Primary):
Member Representative Name (Secondary):
Home Address:
Telephone: Fax: E-Mail: Website:
Preferred method of written correspondence... Direct Mail Fax E-Mail

**The MCAR requires that Affiliate Members be certified by the appropriate trade-related regulatory body as may be prescribed by law**

Professional Certifications/Designations: (please list all that apply)

Please indicate your area(s) of expertise and/or special interest: (Check all that apply)
Finance Fundraising Communications Dispute Resolution
Education / Training Marketing / PR Meetings / Conventions Technology

Other REALTOR® Association Membership:
Have you previously held membership in the Montgomery County Association of REALTORS® at any time? Yes No

I hereby certify that all of the statements and facts as set-forth above are true and correct. Furthermore, I agree to advise MCAR of any change in status regarding professional certification(s):

(Date) ________________________________

(Signature) ________________________________

Method of payment enclosed:

Check payable to MCAR for $

Charge my Visa / Mastercard (circle one) Account # Exp Date: Amount: $

Please forward completed application and payment to MCAR, 3031A Walton Rd, Ste 302, Plymouth Meeting, PA 19462
Fax: 610-260-9951

Affiliate Membership in MCAR is based on payment type. If dues are remitted on a company check/credit card, membership is extended to the company. In the event that the representative is no longer affiliated with the company, membership is transferred to a new representative. If dues are remitted via personal check or credit card, membership transfers with the individual to his/her new company.

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3031-A Walton Road, Suite 302, Plymouth Meeting, PA 19462-2369
Phone 610 260 9931 ◊ Fax 610 260 9951
Montgomery County Association of REALTORS®, INC