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Lake & Geauga Area Association of REALTORS®, Inc. 9930 Johnnycake Ridge Rd 3A Concord Twp, Ohio 44060 Phone: 440.350.9000 Fax: 440.350.9029 Website: www.lgaar.org Email: lgaar@sbcglobal.net
REALTOR® MEMBERSHIP APPLICATION
Membership Type: __New __Reinstate __Transfer __Primary __Secondary Please check one please check one License #__________________________________NRDS #__________________________________ Name___________________________________________Firm_______________________________ Office Address______________________________________________________________________ Street City Zip Code Office Phone __________________________________Office Fax_____________________________ Home Address ______________________________________________________________________ Street City Zip Code Home Phone____________________CellPhone___________________Voicemail_________________ Email____________________________________Website___________________________________ (We publish your website, email & voicemail on our website. We do not disclose home address or phone) Are you currently a member of another Realtor® Association? ___Yes ___No If yes, which one______________________________________________________________ Have you previously held membership in another Realtor® Association? ___Yes ___No If yes, which one______________________________________________________________ Are there any outstanding complaints against you with ___Yes ___No the Ohio Real Estate Commission, other Realtor® Association or governing regulatory agency?
If yes, please submit an explanation of the complaint on a separate sheet _____________________________________________________________________________________ I agree as a condition of membership to complete the Orientation Class of the Association if applicable, within 120 days of the date on this application and otherwise, on my own initiative, to thoroughly familiarize myself with the Code of Ethics of the National Association of REALTORS®, including the duty to arbitrate business disputes in accordance with the Code of Ethics and Arbitration Manual, Bylaws, and Rules and Regulations, and duty to arbitrate. I further agree that my act of paying dues shall evidence my initial and continuing commitment to abide by the aforementioned Code of Ethics, Constitutions, Bylaws, Rules and Regulations, and duty to arbitrate, all as from time to time amended. Finally, I consent that the Lake & Geauga Area Association of REALTORS®, through its Membership Committee or otherwise, may invite and receive information and comment about me from any member or other person, and I agree that any information and comment furnished to the Association by any Member or other person in response to any such invitation shall be conclusively deemed to be privileged and not form basis of any action by me for slander, libel or defamation of character. Applicant acknowledges that if accepted as a member and he/she subsequently resigns or is expelled from membership in the Association with an Ethics complaint or Arbitration request pending, the Board of Directors may condition renewal of membership upon applicant’s verification that he/she will submit to the pending Ethics or Arbitration proceeding and will abide by the decision of the Hearing Panel; or if applicant resigns or is expelled from Membership without having complied with an award in Arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any costs that have previously been established as due and payable in relation thereto, provided that the award and such costs have not, in the interim, been otherwise satisfied. I hereby certify that the foregoing information furnished by me is true and correct; 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. By signing below, I consent that the REALTOR® Associations (local, state, national) and their subsidiaries 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 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. ______________________________________________________________________________________ Applicant's Signature Date ___________________________________________________________________________________ Broker/Office Manager Signature Date PLEASE NOTE: PAYMENT MUST ACCOMPANY THIS APPLICATION TO BE CONSIDERED FOR MEMBERSHIP. DUES ARE NONREFUNDABLE. 1. CALL OUR OFFICES AT 440.974.8506 TO DETERMINE THE AMOUNT OF DUES & FEES OWED. 2. A copy of your Ohio real estate license must accompany this application. 3. Dues are prorated monthly and include membership in the state and national associations as well as LGAAR. Other fees may apply. 4. Cash, checks, MasterCard or Visa are accepted. If you have any questions, please call our offices and we'll be glad to assist you.
Rev. 3/2007
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