Application for MLS Subscription

First Name *

Middle Name (or initial)

Last Name *

Email Address *

Real Estate License # *

Are you a licensed/certified Appraiser? *

If yes, please enter your Appraisal license #

Office Name *

Office Physical Address *

Office Physical Address City *

Office Physical Address State *

Office Physical Address ZIP Code *

Office Phone *

Cell Phone *

Member Mailing Address *

Mailing City *

Mailing State *

Mailing ZIP Code *

Preferred Phone *

Are you now a member of, or have you previously held membership in, another Association or Board of REALTORS®? *

If yes, what is the name of the Association?

Please enter your NRDS number *

If you are a principal, partner, corporate officer or branch manager you must complete the following information: If you are a principal, partner, corporate officer or branch manager you must complete the following information:

Your position?

Have you ever been refused membership in any other Association or Board of REALTORS®?

If yes, please provide details to include the name of the Association, circumstances and the basis for refusal.

Is the office address, as stated, your principal place of business?

I agree as a condition of participation in the MLS to abide by the Rules & Regulations and meet other obligations of participation including payment of fees. I further agree to be bound by the Code of Ethics on the same terms and conditions as board/association members including the obligation to submit to ethics hearings and the duty to arbitrate contractual disputes with other REALTORS® in accordance with the established procedures of the board/association. I understand that a violation of the Code of Ethics may result in termination of my MLS privileges and that I may be assessed an administrative processing fee which may be in addition to any discipline, including fines, that may be imposed. In accordance with their bylaws, I agree to notify the Northwest Arkansas Board of REALTORS® of any changes to my licensee roster within five days of change in license status.

I Agree

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