APPLICATION FOR AFFILIATE MEMBERSHIP

 

Dues Schedule
January – March:  $150.00
April – June:  $112.50
July – September:  $75.00
October – December:  $37.50

 

Name of Applicant:                                                                                                        .

Name of Company:                                                                                                         .

Physical Address:                                                                                                            .

Mailing Address:                                                                                                             .

Phone #:                                                                                                                           .

E-MAIL (required):                                                                                                         .

Web Site:                                                                                                                          .

 

Type of Business:

{    } Bank/Mortgage  {    } Attorney             {      } Insurance          {    } Septic

{    } Appraisal            {    } Advertising        {      } Construction      {    } Home Inspector

{    } Engineers           {    } Water/Well         {      } Other (describe service):_________

 

Are you an Affiliate Member on any other REALTOR® Boards? {  } Yes {  } No

If Yes, please name the other Boards:_______________________________________

 

I hereby certify that I meet the conditions of membership.

Date of Application:__________________________________________

Signature of Applicant:__________________________________________

 

Please mail application with check to:

Windsor County Board of Realtors, P.O. Box 596, Stowe, VT  05672