Membership Application

Join us and discover an environment that makes the most of your skills, talents and ambitions. Join the countless professionals—men and women, established professionals and newcomers—who look to the WCR as a community that both supports and encourages their success.

Name ___________________________________________________

Business Name ____________________________________________

Business Address__________________________________________

City/State_______________________ Phone ____________________

Fax _________ E-mail ______________ Website _________________

Residence Address _________________________________________

City/State_________________________________________________

Phone ___________Fax__________ E-mail ______________________

I would like my mail sent to my ÿ business ÿ home

Local Chapter you are joining : Rochester

Board of REALTORS^®in which you hold membership______________________

Type of membership held: ÿ REALTOR^® ÿ REALTOR-ASSOCIATE^®ÿ Affiliate

Year you became active in real estate? _________

Were you a national WCR member in the past 12 months? __________

REALTOR^® designations you have earned_____________________________

NRDS number__________________________

For National Affiliate applicants only: one of the below MUST be checked to become a National Affiliate WCRmember

Is your REALTOR^®Board membership under your name? ÿ your company name? ÿ

DUES AMOUNT OWED

National dues: $ 86.00

State dues: $ 20.00

Local dues: $ 10.00

Total Dues: $116.00 ($9 of your dues is a one year subscription to Connections)

METHOD OF DUES PAYMENT

Check for $ ______________ payable to WCR is enclosed

Charge $ ____________to my ÿ Visa MasterCard American Express Diners Club Discover Card

Credit Card # _________________________ Expiration Date ________

Signature ___________________________________________ Date ____________

For Local Chapter Use Only: Verify all REALTOR^® Board information, dues amounts and payment information before forwarding this application. Sponsored by_________________

Application Processed by_______________ Date_________________________

Return completed application and payment to:
Maria Vitto Kroninger, Real Estate One/WCR, 543 Main Street #111, Rochester, MI 48307