Newport Beach Association of REALTORS®

Affiliate Designee Application

For escrow, title, lending, inspection, warranty, and disclosure professionals.

Type of Affiliate Membership

Select all that apply *

Select at least one membership type.

Applicant & Company

Applicant name *

Company name *

Company address *

City *

State *

Zip *

Contact Information

Office phone *

Cell

Fax

Email *

Website

Instagram handle

Dues & Payment

No payment is collected on this form. Once you submit your application, Arleen from our Membership team will call you to arrange payment. See the current Board Dues & Fees Schedule on the NBAOR website for application fee amounts.

Agreement

I understand that it is my responsibility to keep my contact information, including my company information, up to date with the Newport Beach Association of REALTORS®.

I understand that it is my responsibility to notify the Newport Beach Association of REALTORS® within 10 business days if I'm no longer with the company I was most recently signed up under.

I agree and understand the Affiliate membership dues are non-refundable.

All three items must be checked to continue.

Signature

Type your full legal name to sign *

Typing your name here serves as your electronic signature. Dated automatically:

✓ Ready to send