Springfield Board of REALTORS®

Application For Membership

Name: ______________________________________ NRDS#: ______________________

Home Address: _______________________________ E-Mail: ___________________

City: ____________________________ State: __________ Zip: ____________-_______

Phone: (_____)___________ Fax: (_____)___________ Website: ____________________

Name of Firm: _____________________________________ Phone: ________________

Firm Address:______________________________________ Fax: __________________

City: _______________________ Zip: ___________________ Other: ________________

Oregon Real Estate License Type and NUMBER: ___________________ Expires: ______

First licensed in Oregon ___________________ Designations: _____________________

Referred by: _____________________________________________________________

Page 1of 2

I, ________________________________________________, hereby apply for (REALTOR®/Affiliate/Non-Resident)
Membership in the Springfield Board of REALTORS® and enclose a check in the amount of $75.00, $25.00 of which I understand will not be returned to me in the event I am not accepted to membership. In the event my application is approved, I agree as a condition to membership to complete the orientation course of the Board, and otherwise on my own initiative to thoroughly familiarize myself with the Code of Ethics of the National Association of Realtors® (NAR), including the duty to arbitrate business disputes in accordance with The Code of Ethics and Arbitration Manual of NAR, the Constitution, Bylaws and Rules and Regulations of the Springfield Board, the Oregon Association and the National Association. I further agree to complete satisfactorily a reasonable and nondiscriminatory written examination, if required, covering such Code, Constitutions, 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, Constitutions, Bylaws, Rules and Regulations and duty to arbitrate, all as from time to time amended. Finally, I consent that 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, and I agree that any information and comment furnished to the Board by 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 if accepted as a Member and he/she subsequently resigns or is expelled from membership in the Board with an ethics complaint or arbitration request pending, the Board of Directors may condition renewal of membership upon the applicant's verification that he/she will submit to the pending ethics or arbitration proceeding and will abide by the decision of the Hearing Panel; or if applicant resigns or is expelled from membership without having complied with an award in arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any costs that have previously been established as due and payable in relation thereto; provided that the award and such costs have not, in the interim, been otherwise satisfied.

SIGNED: _________________________________________Date:__________________

Dues payments to the Board are not tax-deductible as charitable contributions. Portions of such payments may be tax deductible as ordinary and necessary business expenses.

PLEASE RETAIN A COPY OF YOUR APPLICATION TO TAKE TO RMLS AS EVIDENCE OF BOARD MEMBERSHIP

Revised 04/07

2 of 2