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Company Information
Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Personal Information
First Name *
Last Name *
TREC License No
Address 1 *
Address 2
City *
State *
Zip *
Title
Primary Contact # *
Email *
Date of Birth
Additional Information
Are you a Primary member of any other Board of REALTORS?
If so where?
NRDS#
Have you previously held membership in any other Board of REALTORS?
If so where?
NRDS#
Have you ever been denied membership or been expelled by any Board of REALTORS?
If so why?
Have you ever 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?
If yes, please explain.
Specialty:
Commercial
Land
Residential
Other
Are you interested in serving on any of the following TBBOR Committees?
*Check all that apply
Membership
Fair Housing
Public Relations
Social & Special Events
Govermental Affairs/TREPAC
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