THE GREATER BRIDGEPORT
BOARD OF REALTORS®,INC.
961 Huntington Turnpike Bridgeport, Ct 06610
Tel: 203-374-2150 Fax: 203-365-0198
- APPLICATION FOR AFFILIATE MEMBERSHIP -
To: The Greater Bridgeport Board of REALTORS®, Inc. (GBBR)
I, ______, hereby apply for: (Applicant’s name)
I hereby apply for AFFILIATE membership in The Greater Bridgeport Board of REALTORS®, Inc., enclosing my check in the amount of $ ______, which is to be returned to me in the event of non-election. I agree to abide by the Code of Ethics of the National Association of REALTORS®, and the Constitution by- laws, and Rules and Regulation of the Association. I consent that the Association may invite or receive information and comment about me from any member or other person, and I further agree that any information and comment furnished to the Association by any person in response to the invitation shall be conclusively deemed to be privileged and not form the basis of any action by me for slander, libel, or defamation of character.
I hereby submit the following information to GBBR for your consideration
Name:
Company:
Nature of Business:
Have you been recruited to join GBBR? __Yes __No. If Yes, by who? ______
Are you now, or have you ever been a member of any other Real Estate Board/Association __Yes __ No.
If Yes, Name of Board City/State
I agree that, if accepted for Membership in the GBBR, I shall pay the fees and dues as from time
Established. I hereby certify that the above 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 a fact, shall be grounds for revocation of my membership without dues refund, if granted.
Further, I understand that AFFILIATE membership is in my name as a representative of my company and should I change my business affiliation, my membership shall be transferred with me
Signed: ______Date: ______
Form of Payment: □ Check Enclosed Ck # ______□ Credit Card (MC / VISA Accepted)
Credit Card # ______Expiration ______
Local Dues: $ ______State Dues: $ ______National Dues: $ ______TOTAL $______
GBBR - Personal Data Sheet
February 16, 2005
Personal Information: (Required)
Home Address:
Home Phone:
Home Fax Number:
Cell Phone: ______
EMAIL*:
Website: ______
Company Information (Required)
Office Name
Office Address:
Office Phone:
Office Fax:
EMAIL*:
Website:
Title / Position with Firm:
□ Employee □ Owner
□ Office Manager □ Partner
□ Corp. Officer □ Other ______
February 16, 2005
February 16, 2005
Definition of an Affiliate Member; Affiliate members shall be real estate owners and other individuals or firms who, while not engaged in the real estate profession as defined in paragraphs (a) or (b) of this section, have interests requiring information concerning real estate and are in sympathy with the objectives of the association
- EMAIL DISCLOSURE & ACKNOWLEDGEMENT -
The Greater Bridgeport Board of REALTORS® (GBBR) continuously strives to be in compliance with current FTC CAN-SPAM email regulations. In doing so, GBBR requires that this ‘Email Disclosure & Acknowledgement Notice’ be completed in full. Please read this ‘Disclosure’ in its entirety and provide information as requested below.
Why be added to GBBR’s email distribution?
§ Receive GBBR’s membership communications, including our biweekly “On Board” newsletter
§ Be reminded of GBBR’s events: Quarterly Membership Meetings, our Tradeshow, Fundraisers, Social Events, and Educational Opportunities
§ Receive up-to-date “Legislative Alerts” and “Calls to Action” on important Local, State, and National levels
§ Be informed of the latest news and valuable tools from the industry
I wish to submit the following email address to GBBR as the email address GBBR may use to send its communications to:*
I understand that my email address will also be submitted to the Connecticut Association of REALTORS® (CAR) and the National Association of REALTORS® (NAR). I also realize that GBBR affiliate members may have access to my email.**
By signing this ‘Email Disclosure & Acknowledgement Notice’, you are authorizing GBBR to add the email address you have provided above to our email distribution list.
______
Signature Date
Remember, you may request to change your email address with us as you need to. Simply send us an email and provide us with a new email address. Email us at: . (Only one (1) email address can be maintained in our records.)
You may also request to be removed from email distribution at any time. To do so, please email us at: and provide the email address you wish to have removed from the GBBR email distributions.
We are not responsible for any affiliate member’s misuse of your email address. Should you encounter such a situation, please exercise your right to have the problem rectified by directly contacting the affiliate member yourself.
q I wish to NOT have my email address distributed to any GBBR affiliate**
If you have any questions, please feel free to contact Donna Mancuso at: , or call (203) 374-74-2150
February 16, 2005