Hancock-Washington Board of Realtors

Hancock-Washington Board of REALTORS®
Application For Individual Affiliate Membership

To apply for affiliate membership, print and complete the form below. Mail it with your check to the Board Office. DO NOT MAKE ANY CHANGES TO THIS BASIC FORM.

Name: _________________________________________________________________________

Company: ______________________________________________________________________

Address: (both physical and mailing): _______________________________________________

_______________________________________________________________________________

Telephone: __________________________________Fax: _______________________________

Email: ______________________________________

Web: _______________________________________

Are you currently an Affiliate Member of any other Maine Board of REALTORS®?

Yes ______   No ________  Are you seeking Primary or Secondary Affiliate Membership? _______

If Yes, please give name(s) of Board(s): _______________________________________________

_________________________________________________________________________________

I do _______ I do not _______ wish to purchase the quarterly comp/sold MLS book for $35.

I agree that if accepted for Affiliate Membership to the Hancock-Washington Board of REALTORS® that I will pay the annual dues and any other fees as billed.

Dated:_____________ Signature: ______________________________________

Mail to:

63 Foster Street, Suite One
Ellsworth, ME. 04605-2101
Telephone 207-667-8668 Fax 207-667-6777
Executive Officer: Beverlee C. Beers