Detroit Association of Realtors®
2111 Woodward Ave. Ste. 907 Detroit, MI 48201
Ph: 313.962.1313 Fax 313.962.0844 Email info@detroitassociationofrealtors.com

I hereby apply for Primary REALTOR® Membership in the above named Board and am enclosing my payment in the amount of $____________ for my ____ Dues payable to Detroit Association of Realtors. My dues will be returned to me in the event of non-election. Application fee is nonrefundable. I will attend orientation within 60 days of Association’s confirmation of provisional membership. Failure to meet this requirement may result in having my membership terminated. In the event of my 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 above named Board, the State Association and the National Association, and if required, I further agree to satisfactorily complete a reasonable and non-discriminatory written examination on such Code, Constitutions, Bylaws and Rules and Regulations. I understand membership brings certain privileges and obligations that require compliance. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements, such as orientation, not be completed within timeframe established in the association’s bylaws. I understand that I will be required to complete periodic Code of Ethics training as specified in the association’s bylaws as a continued condition of membership.

NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant’s certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.

• Amount shown is prorated according to month joining. Add 3% processing fee to all credit card payments. Checks returned for account closed or NSF will be assessed a $25 fee. I hereby submit the following information for your consideration:

First Name Middle Name Last Name Suffix (Jr, III, Sr, etc)
Nickname (DBA) __________
Email Address: _________________________________________________
Real Estate License #: _________________________________________________
Licensed/certified appraiser: [ 0 ] Yes [ 0 ] No Appraisal License #: s
Office Name: __________
Office Address: __________
Office Phone:________________________________________ Fax:________________________________________
Home Address Street __________
City ________________________________________ State ________________________________________ Zip ________________________________________
Home Phone: ________________________________________ Personal Fax: ________________________________________
Cell Phone: ________________________________________
Preferred Mailing: [0] Home [0] Office Street [0] Office Mail Alternate [0] Member Mail Alternate
Preferred Publication: [0] Home [0] Office Street [0] Office Mail Alternate [0] Member Mail
Preferred Phone: [0] Home [0] Office [0] Cell
Initial Password for Association Site: ________________________________________
Preferred Email: [0] Primary Email [0] Secondary Email
Are you presently a member of any other Association of REALTORS®? [ 0 ] Yes [ 0 ] No
If yes, name of Association and type of membership held: __________
Have you previously held membership in any other Association of REALTORS®? [ 0 ] Yes [ 0 ] No
If yes, name of Association and type of membership held: __________

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? [ 0 ] Yes [ 0 ] No (If yes, provide details as an attachment.)
If you are now or have ever been a REALTOR®, indicate your NAR membership (NRDS) #: ________________________________________ and last date (year) of completion of NAR’s Code of Ethics training requirement: ________________________________________.

Company information: 0 Sole Proprietor 0 Partnership 0 Corporation 0 LLC(Limited Liability Company) 0 Other, specify ________________________________________

Your position: 0 Principal 0 Partner 0 Corporate Officer 0 Majority Shareholder
0 Branch Office Manager 0 Non-principal Licensee

Names of other Partners/Officers/ of your firm: ________________________________________________________________________________________________________________

Have you ever been refused membership in any other Association of REALTORS®?
[ 0 ] Yes [ 0 ] No
If yes, state the basis for each such refusal and detail the circumstances related thereto: ________________________________________________________________________________________________________________

Is the Office Address, as stated, your principal place of business? [ 0 ] Yes [ 0 ] No
If not, or if you have any branch offices, please indicate and give address: ________________________________________________________________________________________________________________

Do you hold, or have you ever held, a real estate license in any other state? [ 0 ] Yes [ 0 ] No
If so, where: ________________________________________________________________________________________________________________

Have you or your firm been found in violation of state real estate licensing regulations or other laws prohibiting unprofessional conduct rendered by the courts or other lawful authorities within the last three years? If yes, provide details: ________________________________________________________________________________________________________________

Have you or your firm been convicted of a felony or other crime. If yes, provide details: ________________________________________________________________________________________________________________

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 misstatement of fact, shall be grounds for revocation of my membership if granted. I further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from time to time established. NOTE: Payments to the Detroit Association of REALTORS® are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. Application fee and dues are non-refundable after acceptance of membership.

By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address 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.

Dated: Signature:

Optional Information:
Date of Birth: _________________
How long with current real estate firm? ________________________________
Previous real estate firm (if applicable): _____________________________________________
Number of years engaged in the real estate business: _____________________________________________
Field of Business (Specialties): please click the link to view all specialties to select
Languages Spoken: please click the link to view all Languages to select

Information to be supplied by Local Association:
Join Date _________________
Status: Active, Provisional
Primary Local Association NRDS ID _____________________________________________
Primary State Association NRDS ID _____________________________________________
Office ID _____________________________________________
(if broker)
Office Contact DR _____________________________________________
Office Contact Manager _____________________________________________
Number of Non-Member Licensees ________________________________

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