48 Schoosett Street, Pembroke, MA 02359
Phone: 781-826-5139
New/Change Office Set up/Update Form
Thank you for informing South Shore Realtors® about office changes. Service to our members is greatly improved by
your willingness to keep us informed on developments in your office.
Date:
Person
Submitting
Change
Form:
Office
Name:
Address/City/State/Zip:
Is
this a brand new office address: Yes
No (if no, is it an office move?) Y N
Office Fax:
Email:
Office Phone:
Is
this a new office? Yes
No (if no, is this a change to an existing office?) Y
N
Office Designated Realtor/Office Manager:
If
this
is
a
new
office,
please
include
your
broker
#:
If
a
change
to
an
existing
office,
who
was
prior
DR?
Realtors® and Brokers affected by this change:
Name (please print)
Active (A)
Inactive (I)
Nonmember
(N)
Name (please print)
Active (A)
Inactive (I)
Nonmember
(N)
For New Offices: A one-time new office fee of $150.00 is required. The new office will be established with
South Shore Realtors®, MAR and NAR in our joint database. Checks should be made out to South Shore Realtors®.
or complete the following:
Name on Credit Card:
CC
Number:_
Business Personal
(
Expiration
(M/Y)
580 Eastern Avenue, Fall River, MA 02723
www.SouthShoreRealtors.com