Broker In Charge Membership Application

Instructions

Please check the 3 boxes below and complete this application if you are the Broker in Charge (Designated REALTOR), and you are not currently active with another association. (If you are currently active with another association, please choose the secondary application form.) You will need to know your license number as well as your office license number for the state of North Carolina. Check the 3 boxes below for Local, State & National Membership and MLS access with Triad MLS.

Select Your Option(s)

MLS $211.50 Quarterly

REALTOR® Office $500.00 One-Time Fee

Broker in Charge State/National $411 Annually

Broker in Charge Local $295 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOffice Name

Membership Options are incorrect, Please check the selected membership options

Broker In Charge Membership Application

Your Voice for Real Estate in the Triad Area