Application For North Shore - Barrington Association Of Realtors® Membership

Please enter all fields below to accurately apply for the Application For North Shore - Barrington Association of Realtors®.

Please be advised that you must send us a copy of your 45-day permit or license. You may send copy by fax to 847-480-7362.

All NSBAR members opening a new office must attend a MANDATORY broker orientation class within 120 days of opening their office. If this requirement is not met, services will be suspended until the course has been completed.

Please note, broker orientation is not the same as new member orientation. Every member must take new member orientation, only new office managers must take broker orientation.

Dues
Application must be accompanied by $250.00 Initial Fee and prorated dues. Membership will be activated when processing of fees is complete. If transferring from another board, please call NSBAR to determine appropriate fees. (All dues are non-refundable once reported to IAR/NAR)

Application Received	NSBAR Dues	State Dues	National Dues	Total Dues	RPAC/IMPAC *	Total with Donation
January	$150.00	$159.00	$110.00	$419.00	$45.00	$464.00
February	$137.50	$150.75	$103.33	$391.58	$45.00	$436.58
March	$125.00	$142.50	$96.67	$364.17	$45.00	$409.17
April	$112.50	$134.25	$90.00	$336.75	$45.00	$381.75
May	$100.00	$126.00	$83.33	$309.33	$45.00	$354.33
June	$87.50	$117.75	$76.67	$281.92	$45.00	$326.92
July	$75.00	$109.50	$70.00	$254.50	$45.00	$299.50
August	$62.50	$101.25	$63.33	$227.08	$45.00	$272.08
September	$50.00	$93.00	$56.67	$199.67	$45.00	$244.67
October	$37.50	$84.75	$50	$172.25	$45.00	$217.25
November	$25.00	$76.50	$43.33	$144.83	$45.00	$189.83
December	$12.50	$68.25	$36.67	$117.42	$45.00	$162.42

* Applicant's Name	(*By typing my name, I intend this to be my electric signature and consent as requested by this form)
* Email Address
* License Type
* Home Address
* City	* Zip
* Office Name
* Office Address	* Zip
* Contact Phone (Will be on your listings)
* Office Phone
Home Fax
Cell Phone
I herby submit the following information for NSBAR consideration:
Name as Shown on License
Name to Appear on Roster
* Birthdate	Tuesday, January 01, 2008
Nickname
License Number
Name of Business if Sole Owner
Business Address	Zip
Website Address
Membership Certification	DR-Designated Realtor Manager-Realtor Agent-Realtor Appraiser
Do you hold or have you held, a real estate license in any other state?
If Yes, please specify state and license number
Has your real estate license in this or any other state ever been suspended or revoked?
If Yes, please specify the place(s) and date(s) of such action, and detail the circumstances relating thereto.
Are there now any pending or unresolved compliants, or have there been, within the past 3 years, any complaints against you or the firm with which you have been associated, before any state real estate regulatory agency or any other agency or government?
If yes, please specify the substance of each complaint in each state, the agency before which complaint was made, and the current status or resolution of such complaint:
Have you ever been convicted of a felony?
If so, give the details, including state and court of conviction:
Are you currently a member of another board or association which is affiliated with the NATIONAL ASSOCIATION OF REALTORS® or have you held membership in another board or association within the past three (3) years?
If "yes," list each board and association where membership was held, type of membership held, and approximate dates of membership.
* Please Select Dues Type
This section must be completed by applicants for REALTOR® Membership, whether primary or secondary, who are principals, partners, corporate officers, or branch office managers (i.e. individuals in positions of management control on behalf of individuals who are not physically present and engaged in the real estate profession).
State the names and titles of all other principals, partners, or corporate officers of your firm.
Name:	Title:
Name:	Title:
Name:	Title:
List the names and addresses of all branch offices or other real estate firms in which you are a principal, partner, or corporate officer:
Name:	Address:
Name:	Address:
Name:	Address:
Tax ID Number
Type of Business
Position with Firm
This section is to be filled out by all membership classifications
Are you a member of an institute, society, or council affiliated with the National Association of Realtors?
If yes, please indicate name of affiliation
List any professional designations you hold
All Membership classifications, please Note:

I hereby apply for REALTOR® membership in the above named board/association and enclose my payment, which I understand will be returned to me in the event I am not accepted for membership. If application is approved, I agree as a condition to membership to complete indoctrination course of the above named board/association WITHIN 90 DAYS from date of application or forfeit all fees, if any, 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 of the board and the constitution, bylaws, and rules and regulations of the above named board, the state association and the National Association, and I further agree to complete satisfactorily a reasonable and nondiscriminatory written examination covering such Code, constitution, bylaws, 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, constitution, bylaws, rules and regulations, and duty to arbitrate, all as from time to time amended. Finally, I consent and authorize the board, through its membership committee or otherwise, to invite and receive information and comment about me from any member or other person in response to any such 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.

NOTE: Applicant acknowledges that NSBAR will maintain a membership file of information which may be shared with other boards/associations where applicant subsequently seeks membership. This file shall include: previous applications for membership; all final findings of Code of Ethics violations and violations of other membership duties within the past three (3) years; pending complaints alleging violations of the Code of Ethics or alleging violations of other membership duties; incomplete or pending disciplinary measures; pending arbitration requests; and information related to unpaid arbitration awards or unpaid financial obligations to the board/association or its MLS.

NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant's certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.

NOTE: Dues payments to NSBAR are not tax deductible as charitable contributions. Portions of such payments may be tax deductible as ordinary and necessary business expenses.

Please note, broker orientation is not the same as new member orientation. Every member must take new member orientation, only new office managers must take broker orientation.

* I understand that by providing my mailing address, email address, telephone number, and fax number, I consent to receive communications sent by or on behalf of the North Shore – Barrington Association of REALTORS® (and its subsidiaries and affiliates) via regular mail, email, telephone, or fax. I understand that NSBAR will not share my address/email/telephone/fax with other organizations but will with other members of NSBAR.

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