Affiliate application

Instructions

I hereby apply for Membership in the Piedmont Regional Association of REALTORS®, Inc.

Dues are non-refundable.

Select Your Option(s)

Affiliate $100 Annually + $250.00 One-Time Fee

Affiliate

Affiliate Secondary $100 Annually + $250.00 One-Time Fee

Affiliate Secondry

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

Please select a valid membership option and fee item if exist