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Rockland County Board of REALTORS
Affiliate Application Form
January – December, 2008


Dear Prospective Affiliate Member;

Thank you for expressing interest in becoming an Affiliate Member with the Rockland County Board of REALTORS.

Some of the benefits of being a member are, being introduced to our membership at our general meetings, recognized in our monthly newsletter on our Affiliate page; and an Affiliate of the Year Award.  We also have a very successful annual Trade Show and REALTOR Convention, and Affiliate members, for a nominal fee, can reserve a booth for their displays.

The main objective, of course, is to meet as many of our members as possible.

If you have any further questions, please feel free to call the Board Office.

Sincerely,

Rockland County Board of Realtors

Karen Peters
Association Executive




APPLICANT:_________________________________________________________________


CONTACT PERSON:__________________________________________________________


BUSINESS ADDRESS:_________________________________________________________

____________________________________________________________________________

BUSINESS PHONE #_____________________________ FAX #_______________________

EMAIL ADDRESS:____________________________________________________________

IN WHAT BUSINESS REALTED TO THE REAL ESTATE INDUSTRY ARE YOU ACTIVELY ENGAGED?

____________________________________________________________________________

____________________________________________________________________________

List two (2) REALTOR References:

____________________________________________________________________________

____________________________________________________________________________

The undersigned hereby applies for Affiliate Membership in the ROCKLAND COUNTY BOARD OF REALTORS and a check for the annual dues in the amount of   $275.00*  is attached.


____________________________          __________________________________
Date        Signature of Applicant


*Pro-rated Dues (monthly)









Rockland County Board of Realtors
300 North Middletown Road
Pearl River, New York  10965
(845) 735-0075
Fax (845) 735-0415
Email: admin@rcbor@com



Total Amount to be Charged$____________________________________________________


Name:_______________________________________________________________________


Please charge to the following credit card:

________MasterCard_________Visa_________AmEx


Credit Card #__________     __________     __________     __________


Expiration Date: _________________________________

Print Cardholder’s Name________________________________________________________

Address______________________________________________________________________

City___________________________________State_________________Zip______________

Signature_____________________________________________________________________
February
March
April
May
June

$252.09
$229.18
$206.27
$183.36
$160.45
July August
September
October
November
December

$137.54
$114.63
$91.72
$68.81
$45.90
$22.91