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Prince George's Chapter Affiliate Membership Application

To apply for REALTOR® Membership click here

Fields labeled in red are required.

Title:
Name:
(first, last)
  
Position:
E-mail Address:
 Office Information
Company:
Street Address:
Suite #:
City:
State:
Zip Code:
Phone Number:
( ) -
Fax Number:
( ) -
 
Home Address
Street Address:
Apt #:
City:
State:
Zip Code:
Phone Number:
( ) -
Fax Number:
( ) -
Cell Number:
( ) -
Preferred Contact Phone:
 Office   Home   Cell
Service Industry:
Area of Specialization:
Area of Interest:
 Yes   No
Are you available to serve on a committee for WCR?
 Yes   No
Are you available to make a product/service presentation at a WCR meeting?
 Yes   No
Are you available to help sponsor WCR events?
Date of Application:
Wednesday, December 13, 2017
Date of Expiration:
Friday, January 1, 2016
 
Dues $50.00 Payable to WCR. Once you complete this application, you will be redirected to the payment process.
 
Who referred you as a member?
Signature:

(In lieu of your signature, enter your email address.)
 
*If you hold membership in your name at your local association, you are eligible
to be a National Affiliate.
 
      
Thank you for your interest in WCR.


 
 
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