Fill - Free fillable Primary Agent Membership Form PDF form

PRINCE GEORGE'S COUNTY ASSOCIATION OF REALTORS

, INC.

8300 Corporate Drive, Suite 100

Landover, MD 20785

Phone: (301) 306-7900 Fax: (301) 306-8273

APPLICATION FOR REALTOR

(AGENT) MEMBERSHIP

To be forwarded to the Association office within 72 hours of acceptance of association with the Principal Broker.

(COPY OF LICENSE MUST ACCOMPANY APPLICATION)

I hereby apply for REALTOR

Membership in the Prince George's County Association of REALTORS

, Inc. I

understand that dues allocations for the Maryland Association of REALTORS

and the NATIONAL ASSOCIATION OF

REALTORS

are included in the Annual Dues, as specified on the last page of this application.

If applicable, I agree to abide by the Constitution and By-Laws of the Prince George's County Association of

REALTORS

, Inc. and the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS

; irrevocably waive all

claims against the Association or any of its Officers, Directors, or Members for any act in connection with the business of

the Association, or their acts in advancing, suspending, expelling or disciplining me as an applicant or member and to

complete as required the new member orientation requirements. The Arbitration process and the duty to arbitrate business

disputes is acknowledged by my signature below. I understand that Association Dues are payable annually on the 1st

of October and are not refundable.

I understand in the event it is determined that I have violated one or more Articles of the Code of Ethics of the

NATIONAL ASSOCIATION OF REALTORS

, Inc., following a hearing, that the Hearing Panel, in determining the

appropriate discipline, in its discretion, may consider all records of previous violations of the Code of Ethics by me, if

any, and the sanctions imposed, whether by the Prince George's County Association of REALTORS

, Inc. or by any other

Board or Association of REALTORS

in which I have held or subsequently hold membership. I authorize the

Association to contact such other Board(s) or Association(s) of REALTORS

for the purpose of obtaining any such

record(s) of prior violation(s) of the Code of Ethics and the sanction(s) imposed, if any.

See last page for a specific breakdown of dues.

PLEASE PRINT OR TYPE

Name (shown on license) ____________________________________ R.E.C. Lic. # ________________

Company Name ____________________________________________ Phone ______________________

Address __________________________________________________ Email _____________________

City _______________________________________ State _______ Zip ________________________

Residence Address __________________________________________ Home Phone ________________

City _______________________________________ State _______ Zip ________________________

I agree to pay the established fees as long as I maintain membership.

I acknowledge that in determining my qualification for REALTOR

Membership, the Association, in accordance with the

Bylaws of the Association, will also consider:

1. All final findings of Code of Ethics violations and violations of other membership duties in any other Board or

Association of REALTORS

within the past three (3) years.

2. Pending ethics complaints (or hearings)

3. Unsatisfied discipline pending

4. Pending arbitration requests (or hearings)

5. Unpaid arbitration awards or unpaid financial obligations to any other association or association MLS

I fur

ther understand that "Provisional" Membership may be granted to me if there is an ethics complaint or arbitration

request (or hearing) pending in other Boards or Association or where I have an unsatisfied discipline pending in another

Board or Association (provided all other qualifications for membership have been satisfied). The Association may

reconsider my membership status when all pending ethics and arbitration matters (and related discipline) have been

resolved or if such matters are not resolved within six months from the date that provisional membership is approved.

Provisional members shall be considered REALTORS

and shall be subject to all of the same privileges and obligations

of REALTOR

Membership.

I resign or have resigned from another Board or Association with an ethics complaint or arbitration request pending, I

understand that the Association may condition membership in the Association upon my certification that I will submit to

the pending ethics or arbitration proceeding (in accordance with the established procedures of the association to which the

applicant has made application) and will abide by the decision of the hearing panel.

I hereby authorize representative(s) of the Association to contact any local Board or Association of REALTORS

which I now or in the past have held membership for the purpose of determining my qualification for REALTOR

Membership in the Association.

With

reference to items 1-5, are there any current violations, pending complaints, pending arbitration requests, unsatisfied

discipline or unpaid arbitration awards or unpaid financial obligations to any other association or association MLS?

( ) Yes ( ) No

yes, explain

Do you c

urrently hold or have you previously held membership in this Association or any other Association of

REALTORS

( ) Yes

( ) No If yes, Which Association?

Dates of Membership: From _________________________________ to ______________________

Sig

nature (Applicant) ______________________________________ Date ______________________

Sig

nature (Broker or Sales Manager) ___________________________ Date ______________________

(Broker/Sales Manager signature required on all applications)

I authorize the Prince George's County Association of REALTORS

, Inc. to keep my signature on file and to charge my

account for payment as indicated below for $__________________:

Check One:

□ MasterCard □ Visa □ American Express □ Discover

Account #

___________________________ Exp. Date ___________________________

Signature

___________________________

2020 REALTOR

DUES BREAKDOWN

October 2019

$327.00 PGCAR 10-01-19 thru 09-30-20

185.00 NAR Dues Allocation 01-01-20 thru 12-31-20

72.50 NAR Dues Allocation 10-01-19 thru 12-31-19

214.00 MAR Dues Allocation 10-01-19 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$933.50 Total Due

April 2020

$164.00 PGCAR 04-01-20 thru 09-30-20

147.50 NAR Dues Allocation 04-01-20 thru 12-31-20

214.00 MAR Dues Allocation 04-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$660.50 Total Due

November 2019

$300.00 PGCAR 11-01-19 thru 09-30-20

185.00 NAR Dues Allocation 01-01-20 thru 12-31-20

60.00 NAR Dues Allocation 11-01-19 thru 12-31-19

214.00 MAR Dues Allocation 11-01-19 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$894.00 Total Due

May 2020

$137.00 PGCAR 05-01-20 thru 09-30-20

135.00 NAR Dues Allocation 05-01-20 thru 12-31-20

107.00 MAR Dues Allocation 05-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$514.00 Total Due

December 2019

$273.00 PGCAR 12-01-19 thru 09-30-20

185.00 NAR Dues Allocation 01-01-20 thru 12-31-20

47.50 NAR Dues Allocation 12-01-19 thru 12-31-19

214.00 MAR Dues Allocation 12-01-19 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$854.50 Total Due

June 2020

$109.00 PGCAR 06-01-20 thru 09-30-20

122.50 NAR Dues Allocation 06-01-20 thru 12-31-20

107.00 MAR Dues Allocation 06-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$473.50 Total Due

January 2020

$246.00 PGCAR 1-01-20 thru 9-30-20

185.00 NAR Dues Allocation 01-01-20 thru 12-31-20

214.00 MAR Dues Allocation 01-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$780.00 Total Due

July 2020

$82.00 PGCAR 07-01-20 thru 09-30-20

110.00 NAR Dues Allocation 07-01-20 thru 12-31-20

107.00 MAR Dues Allocation 07-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$434.00 Total Due

February 2020

$218.00 PGCAR 2-01-20 thru 9-30-20

172.50 NAR Dues Allocation 02-01-20 thru 12-31-20

214.00 MAR Dues Allocation 02-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$739.50 Total Due

August 2020

$55.00 PGCAR 08-01-20 thru 09-30-20

97.50 NAR Dues Allocation 08-01-20 thru 12-31-20

107.00 MAR Dues Allocation 08-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$394.50 Total Due

March 2020

$191.00 PGCAR 3-01-20 thru 9-30-20

160.00 NAR Dues Allocation 03-01-20 thru 12-31-20

214.00 MAR Dues Allocation 03-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$700.00 Total Due

September 2020

$28.00 PGCAR 09-01-20 thru 09-30-20

85.00 NAR Dues Allocation 09-01-20 thru 12-31-20

107.00 MAR Dues Allocation 09-01-20 thru 10-31-20

100.00 Processing Fee

35.00 Voluntary RPAC Contribution*

$355.00 Total Due

SENTRICARDS are issued between 9:30 a.m. and 3:30 p.m. and have fees as follows:

$160 Annually

$25 Key Replacement Plan

$115 SentriBox

New Members are processed and key issued between 9:30 a.m. and 3:30 p.m. Monday through Friday.

**RPAC Voluntary Contributions (REALTORS

Political Action Committee)

Contributions are not deductible for Federal income tax purposes. RPAC contributions are voluntary and used for political purposes.

The amounts indicated are merely guidelines and you may contribute more or less than the suggested amounts. The National

Association of REALTORS

and its state and local associations will not favor or disadvantage any member because of the amount

contributed or a decision not to contribute. You may refuse to contribute without reprisal. 70% of each contribution is used by your

State PAC to support state and local political candidates. 30% is sent to National RPAC to support Federal candidates and is charged

against your limits under 52 U.S.C. 30116.

Revised 10/19

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