REALTOR® Membership ApplicationPlease enable JavaScript in your browser to complete this form.I hereby apply for provisional REALTOR Membership. As part of my application, I agree to pay the following fees and acknowledge the requirements for membership *I acknowledge and agreeMy Texas and National Association of REALTORS® dues will be returned to me in the event of non-election. I understand the APPLICATION FEE IS NON-REFUNDABLE. I agree to ATTEND ORIENTATION WITHIN THE FIRST TWO (2) TIMES IT IS OFFERED UPON SUBMITTAL OF THIS APPLICATION. If I am an MLS Subscriber, I agree to complete the MLS ORIENTATION COURSE WITHIN THIRTY (30) DAYS AFTER SUBMITTAL OF THIS APPLICATION. I understand failure to meet this requirement may result in my membership being terminated. In the event of my election, I agree to abide by the Code of Ethics of the National Association of REALTORS®, which includes my duty to arbitrate, and the Constitution, Bylaws and MLS Rules and Regulations of the Lubbock, Texas, and National Associations, and if required, I further agree to satisfactorily complete a reasonable and non-discriminatory written examination on such Code, Constitutions, Bylaws and MLS Rules and Regulations. I understand membership brings certain privileges and obligations that require compliance. Membership is final upon approval by the Board of Directors and may be revoked should completion of requirements, such as orientation, not be completed within the timeframe established by the Board of Directors. I understand I will be required to complete periodic Code of Ethics training as specified in the Association's Bylaws as a continued condition of membership.I understand there is a $400 Initial Joining Fee *I acknowledgeI understand there is a pro-rated amount due for Texas and National Association of REALTORS dues *I acknowledgeI understand I must pay the first month's Association dues of $28.50 *I acknowledgeI understand I must pay the first month's MLS dues of $41.50 if I am an MLS Subscriber *I acknowledgeI would like to make an initial $35 investment in TREPAC *YesNo*Disclaimer: Contributions to the Texas Association of REALTORS Political Action Committee (TREPAC), the Texas Association of REALTORS Federal Political Action Committee (TAR FedPAC), and the REALTOR Political Action Committee (RPAC) are not deductible for federal income tax purposes. Contributions to the TREPAC, TAR FedPAC, and RPAC are voluntary and may be used for political purposes. The amount indicated is merely a guideline, and you may contribute more, or less than the suggested amount. The Association will not favor or disadvantage anyone by reason of the amount of their contribution, and you may refuse to contribute without reprisal by the Association. Your contribution is split between TREPAC and TAR FedPAC. Contact the TREPAC administrator at 800-873-9155 for information about the percentages of your contribution provided to TREPAC and to TAR FedPAC. The TAR FedPAC portion is used to support federal candidates—via contributions by TAR FedPAC to RPAC—and is charged against your limits under 52 U.S.C. § 30116.TitleMr.Mrs.Ms.MissDr.Name *FirstMiddleLastPreferred Name/Nickname *Date of Birth *Preferred Email (business email is best) *Website / URLTexas Real Estate License Number *Texas Real Estate License Expiration Date *Licensed/Certified Appraiser *YesNoAppraiser License Number *Appraiser License/Certificate Expiration DateOffice Name *Office Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOffice Phone (This should be the phone number of the office.) *Office FaxCell Phone (This should be your phone number.) *Home Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreferred Mailing Address *HomeOfficeAlternativeIf you want to use an alternative address, please provide it below:Alternative AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you presently, or have you ever been, a member of the LAR or any other REALTOR association? *YesYes - former Lubbock AOR MemberNoAssociation Name (other than Lubbock)*If yes, which type of Membership?REALTOR/AppraiserAffiliateA Letter of Good Standing from your primary association is required prior to joining the LAR. * Click or drag a file to this area to upload. Position in your current real estate office - check all that apply *SalespersonPartnerOffice/Sales ManagerMajority ShareholderReal Estate Specialty *ResidentialCommercialLand/Farm/RanchProperty ManagerHave you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS in the past three (3) years or are there any such complaints pending? *Yes*No*If yes, please provide details about COE violations Click or drag a file to this area to upload. Have you ever been refused membership in any other REALTOR Association? *Yes*No*If yes, please state the basis for each such refusal and detail the circumstances related hereto Visual Text Do you hold, or have you ever held a real estate license in any other state? *Yes*No*If yes, which state?Have you or your firm been found in violation of state real estate licensing regulations or other laws prohibiting unprofessional conduct rendered by the courts or other lawful authorities within the last three (3) years? *Yes*No*If yes, please provide detailsHave you ever been convicted of a felony or other crime? *Yes*No*If yes, please provide details (copy)Are you now employed or engaged in any other business or profession? *Yes*No*If yes, Company NamePositionCompany AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYou are consenting to receive recurring and automated messages via email and/or SMS text from the Lubbock Association of REALTORS to the email addresses and/or mobile numbers you have provided. Messages will be sent to you periodically and may vary in volume and frequency. Message and data rates may apply.I consentSignature * Clear Signature Date *Note:We cannot process your application until your license shows Active under a member broker at the Texas Real Estate Commission website.SubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternately, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link