1123 Harrison Avenue, Panama City, Florida 32401 Telephone (850) 763-8078; Facsimile (850) 769-5462 Email: [email protected] ; Erica Price, Membership and Finance Coordinator MLS ONLY SUBSCRIBER APPLICATION (NON-BCAR MEMBER) Applicant MUST be an agent with a Member Office under a Member Broker This application does not apply to Licensees that are not a member of any Association. Please contact the Association for Non-Realtor/Non-Member Application FULL LEGAL NAME: ____________________________________PRIMARY ASSOC: ______________ FL LICENCE NUMBER: SL/BK__________________________________________________________ NRDS ID# ________________________________________________________________________ MAILING ADDRESS: ________________________________________________________________ PHONE (CELL/OFFICE/HOME specify) __________________________________________________ Email address: ____________________________________________________________________ DATE OF BIRTH: ____________________________ MALE/FEMALE BROKER NAME: ___ ________________________________________________________________ BCAR OFFICE CODE: ________________________________________________________________ BROKER COMPANY NAME: ___________________________________________________________ BROKER ADDRESS/PHONE____________________________________________________________ BROKER WEBSITE: __________________________________________________________________ A LETTER OF GOOD STANDING FROM YOUR CURRENT ASSOCIATION IS REQUIRED WITH SUBMISSION OF THIS APPLICATION APPLICATION FEE (ONE TIME) $140.00 MLS USER ONLY QUARTERLY FEES $59.00 (Billed quarterly to User) Additional $100.00 per listing for Subscribers outside of Reciprocal Area OFFICE USE ONLY B#:_________________________ NRDS #:____________________ MEMBER ID:________________ New Member Orientation DATE:__________________ Amount Paid:$_______________ 1 ACKNOWLEDGEMENT: By signing this acknowledgment, we agree to cooperate per the rules of the Bay County Association Multiple Listing Service, compensate as indicated on the profile sheet and arbitrate, if necessary, in the jurisdiction of the association where the property is located. We further agree as a condition of participation in the Bay County Association Multiple Listing Service to abide by all relevant Bylaws, Rules, Regulations, Policies and other obligations of participation including payment of fees, to be bound by the Code of Ethics on the same terms and conditions as the Bay County Association Multiple Listing Service members including the duty to arbitrate contractual disputes with other Brokers, Sales Associates and REALTORS® in accordance with the established procedures of the Bay County Association Multiple Listing Service. We understand that a violation of the Code of Ethics may result in termination of Bay County Association Multiple Listing Service privileges. Participatory rights granted under this agreement do not confer voting privileges or eligibility for a position as a Bay County Association Multiple Listing Service Committee member. The Broker is required to immediately notify Bay County Association Multiple Listing Service of any change in the status or address of an agent, Broker, or company. (All fees are subject to change without notice). All MLS Subscribers MUST attend Bay County Association of Realtors’ Basic MLS Training within thirty (30) days of becoming an MLS Only Subscriber. Failure to complete this training will result in suspension of access to the BCAR MLS until the training is completed. SUBSCRIBER AGENT NAME PRINT: __________________________ SIGNATURE: ____________________________________________ SUBSCRIBER BROKER NAME PRINT: _________________________ SIGNATURE: ____________________________________________ DATE: _________________________________________________ 2