APPLICATION FOR AFFILIATE MEMBERSHIP
in the CENTRALSUSQUEHANNAVALLEY BOARD OF REALTORS®(“CSVBR”)
316 Mill Street, Suite 1, Danville, Pa17821
ph: 570-275-7818 fax: 570-275-4066 e-mail: firstname.lastname@example.org
Name and Title: ___________________________________________________________
Name of Company: ___________________________________________________________
Billing Address ____________________________________________________________
Main or alternate Address: __________________________________________________________
Telephone: ___________________ Fax: ___________________ E - mail: ___________________
Please note: Employees and owners of companies in the following support services: home inspection, radon inspection, pest inspection and trades related to other real estate support services may join the CSVBR as an Affiliate for annual dues of $50*. This amount is prorated in July to $25.
Affiliate members of the CSVBR employed by or owning companies providing services outlined in paragraph one may be eligible to lease a Supra Electronic Keybox access card (Superkey) from the CSVBR-Multiple Listing Service by complying with the following: (1) submission of applicable fees; (2) signing the Superkey (Entry Card) Lease Agreement; (3) agreeing (in writing) to abide by the CSVBR-MLS Electronic Keybox and Superkey (Entry Card) Rules and Regulations; (4) attending a 45 minute training session on the use of the Superkey; and (5) providing a Certificate of Liability Insurance.
Superkeys are issued by Serial Number and PIN Number to individuals. Sharing of any Superkey is strictly prohibited and members will incur a fine of $250 for the first offense and $500 for the 2nd and any subsequent offenses.
Affiliate membership dues: $ __________ ($50* if before July 1, $25 after July 1)
Superkey issuance fee: $ __________ ($200* deposit)
($300* one-time setup fee-includes 3 years of insurance on Display Key)
Recurring fees : $ __________ ($50* annual Affiliate dues; $106* annual Key fee
for second through subsequent years)
Please make Affiliate Membership dues check payable to CSVBR, Inc.
Please make Superkey lease fee payable to CSVBR-MLS, Inc.
* Prices are subject to change at the beginning of each calendar year, with prior notice.
Form revised: 05-05-09