South Metro Denver REALTOR® Association Membership Application Affiliate – Affiliate Members are individuals who represent a firm related to the real estate profession such as title insurance companies, lending institutions, attorneys, builders, home inspectors, and companies that provide other home services. Date ____________________________ Select one: Mr. Mrs. Ms. NRDS # (previous/existing REALTORS®):__________________________________ Miss Dr. None First Name: _____________________________Middle Initial: ________ Last Name: ________________________________________ Preferred or Nickname: ___________________________________ LICENSE INFORMATION (Affiliates complete only if you have a Mortgage Broker’s license or active real estate license) Name as it appears on license: ______________________________________________________________________________________________ Colorado Mortgage License #: ___________________________ Expiration Date: _________________ MLS ID: ____________________________ For mortgage brokers only: I certify that I am a licensed mortgage broker with the Director of the Colorado Division of Real Estate. Should my license with the state of Colorado cease to exist for any reason, I understand that I will no longer be an Affiliate member of the Association and that no refund will be due me. Initial here: _________ OFFICE INFORMATION - REQUIRED Office Name: ___________________________________________________________ Office Phone#:_________________________Ext_________ Office Address: ___________________________________________________________Office Fax#: ______________________________________ Office City: _______________________________________ State:__________ Zip:___________________ Office MLS ID: _____________________ Office Website: ________________________________________________________________ Is this a new office? Yes No PERSONAL INFORMATION - REQUIRED SMDRA Online Portal at www.smdra.com Password:_______________________________________ Your user name will be assigned. Your password can be any combination of 8 letters or numbers and is case sensitive. Birthdate: _________________________________________ Number of years in business:_________________________________________ Home Address: _______________________________________________________ Home City:_________________________________________ State: ____________ Zip:_____________________ Home/Personal Fax#: ___________________________________ Home Phone#:_______________________________________ Email:__________________________________________________________________________________________________________ Personal Website: __________________________________________________ Cell Phone#:____________________________________________ COMMUNICATION PREFERENCES Preferred Mail Contact: Preferred Phone Contact: Home Office Show Cell Phone in Member Directory? Office Home Cell Yes No Show Email in Member Directory? Yes No SKILLS & SERVICE (Used to match you with Committees or service projects & events.) Languages you speak: _________________________________________ Military Service (Branch)? ______________________________________ Community Involvement: __________________________________________________________________________________________________ Previous Job Skills: ________________________________________________________________________________________________________ PREVIOUS REALTOR® ASSOCIATION HISTORY - REQUIRED Have you ever been a member of another REALTOR® Association? Yes No Previous Association Name/State: ________________________________________________________________________________________ Other Names Membership may have been listed under: _______________________________________________________________________ Updated 02/18/2014 CODE OF CONDUCT – REQUIRED Have you completed New Affiliate Orientation? Yes No Date Completed: ______________________ Have you read and accepted the terms of the Affiliate Code of Conduct? If you mark no, please contact SMDRA membership staff. (303)797-3700 Yes No TERMS & ACKNOWLEDGEMENT - REQUIRED I hereby apply for Affiliate Membership in the South Metro Denver REALTOR® Association, Inc. (SMDRA), and I am including my payment which is to be returned to me in the event of non-acceptance of the application by the Board of Directors. I understand that if approved for Affiliate Membership, the amount enclosed will be the total amount of dues required for membership from the date of this application to the end of the current fiscal year. (SMDRA’s fiscal year runs from October 1 through September 30.) I further acknowledge that this membership does not permit me to use the term “REALTOR®” and that I am not entitled to vote on any REALTOR® matters or have MLS access. Although I am not subject to the Code of Ethics or its enforcement by SMDRA, I agree to abide by the principles established in the Code of Ethics of the National Association of REALTORS® and conduct my business and professional practices accordingly. I understand that I may be subject to discipline or termination upon recommendation by a hearing panel of the Professional Standards Committee for conduct which, in the opinion of the Board of Directors, reflects adversely on the terms REALTOR® or REALTORS® and the real estate industry, or for conduct that is inconsistent with or adverse to the objectives and purposes of SMDRA, the Colorado Association of REALTORS®, or the National Association of REALTORS®. I hereby grant SMDRA my express written consent to contact me at their discretion by U.S. mail, fax, telephone, or email. I understand that by providing my street address, e-mail address(es), telephone numbers(s), and fax number(s), I consent to receive communications sent from SMDRA via regular U.S. mail, email, telephone, or facsimile at those numbers/locations. _________________________________________________ Signature ____________________________________ Date DUES All dues must be paid in full at the time of application. Your individual dues amount may vary depending on date of application and previous membership. Please refer to the Dues Chart below for the current dues rate. SMDRA does not charge an application fee. New affiliate members may be required to complete a New Affiliate Orientation class. Annual Dues: Once remitted, all dues are NON-REFUNDABLE. Payment Type: Credit Card (complete authorization) Check #__________________ $_______________ Cash Payments to the South Metro Denver REALTOR® Association are not deductible as charitable contributions for federal income tax purposes; however, they may be deductible under other provisions of the Internal Revenue Code. Seek information and guidance from and rely upon the advice of your tax expert and not SMDRA. Annual Affiliate Dues - $219.00 (Dues are prorated monthly as follows, depending on month of application.) October $219.00 April $115.98 November $201.83 May $98.81 December $184.66 June $81.64 January $167.49 July $64.47 February $150.32 August $47.30 March $133.15 September $30.13 Thank you for joining the South Metro Denver REALTOR® Association! 7899 South Lincoln Court Littleton, CO 80122 (303)797-3700 Phone (303)797-0109 Fax [email protected] Email Visit us online at www.smdra.com Updated 02/18/2014 Each affiliate membership includes one business listing on the www.smdra.com Affiliate page. If your business or service covers more than one of the categories offered, you may elect to have one additional listing for an additional annual fee of $25.00. This option can be added at any time during your membership. Please select a category from the following options. If your business or service does not fit one of these categories, please select “Other”. ___Accounting ___Insurance (other than title) ___Advertising / Marketing / Printing ___Interior Design / Staging / Window Treatments ___Automotive ___Landscaping / Lawn Care ___Banking / Financial Services ___Legal Services ___Builders / Developers ___Lockbox Services ___Carpet/Floor Cleaning ___Locksmith ___Catering / Food & Beverage ___Misc. Home Services ___Cell Phones / Communication ___Mortgage / Lenders ___Computers / Internet Service / Software ___Moving / Relocation / Storage ___Concierge Services ___Painting ___Electrical ___Photography / Virtual Tours ___Fireplace/Chimney ___Plumbing / Sewer ___Flooring ___Publications ___Garage / Driveway Services ___Real Estate Investment ___Gifts & Promotional Items ___REALTOR® Office Staff/Executive ___Health & Wellness ___Roofing ___Heating & Air Conditioning ___Senior Living ___Home Automation ___Title Insurance ___Home Improvement/Remodeling/Repair ___Trash Removal ___Home Inspection / Mold / Radon ___Water / Fire Damage Restoration ___Home Security ___Web Design ___Home Warranty ___Windows/Window Treatments ___House Cleaning Services ___Other I have selected two categories and have included the $25.00 fee with my dues. Initial here: ______________ For more than sixty years, the South Metro Denver REALTOR® Association (SMDRA), a non-profit trade association, has provided real estate professionals with the resources they need to help them grow and prosper in the real estate profession. Affiliate Membership is open to any individual or business related to the real estate industry. Some of these include attorneys, title and insurance companies, lenders, builders, home inspectors and banking and financial services. Affiliate Membership will provide you with a solid customer foundation because, quite simply, REALTORS® prefer working with someone they know! Building relationships is the key to Affiliate member success! Updated 02/18/2014 The mission of the Affiliate Council is to support the goals and objectives of the South Metro Denver REALTOR® Association, and the real estate industry in areas such as education, legislative issues, marketing strategies, training, and special events. Affiliate Member Code of Conduct 1. Affiliates shall be informed of and do business in accordance with laws, governmental regulations and public policies in the field in which the Affiliate customarily engages. 2. Affiliates pledge to provide quality service by responding to customer concerns and inquiries in a timely manner. 3. Affiliates shall not announce nor advertise any terms, prices and conditions not available and not likely to be made available. 4. Affiliates will attempt to put all agreements into written form, if and when applicable; and abide by all written agreements made by him/her. 5. Affiliates shall promote their business in a positive and professional manner based on their merits and those of their company. 6. Affiliates shall not make false or misleading statements about competitors, REALTOR® members or other Affiliate Members, their businesses or their business practices. 7. Affiliates shall avoid exaggeration, misrepresentation, and concealment of pertinent facts and not reveal facts considered confidential in the scope of their field of practice. 8. Affiliates shall cooperate with and not intentionally impede any investigative or disciplinary proceedings conducted by the Association. 9. Affiliates shall abide by the Bylaws and policies of the Association and aspire to abide by the REALTOR® Code of Ethics. _________________________ Name _________________________ Company __________________ Date South Metro Denver REALTOR® Association 7899 South Lincoln Court  Littleton, CO 80122 (303) 797-3700 Phone (303) 797-0109 Fax Credit Card Dues Payment Form If you would like to use a credit card to pay your application fee and dues, please complete the following: Date ______________________________________________________________________________________ Member Name ______________________________________________________________________________ Amount $ __________________________________________________________________________________ ___VISA ___MasterCard ___American Express ___Discover Card Number _______________________________________________________________________________ Expiration Date _____________________________6HFXULW\&RGHRUGLJLW&99____BBBBBB___________ Name as Shown on Card _____________________________________________________________________ Credit Card Billing Address ____________________________________________________________________ Street City State Zip Signature __________________________________________________________________________________ Once processed, dues are non-refundable.