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.