EmailMeForm
Application for REALTOR® Membership
Membership Type and Experience
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New Primary REALTOR® Applicant (never held REALTOR® membership)
Re-applicant for Primary REALTOR® (previous member of Suburban West, Montgomery County, Delaware Valley or Chester County Association of REALTORS®)
Primary REALTOR® Applicant from Other Association (previously belonged to another REALTOR association and joining Tri-County as primary)
Secondary REALTOR® Applicant (currently holds active primary REALTOR® membership with another association)
(NOTE: This section determines your membership fees as outlined on the payment page and if New Member Orientation is required. Information is verified by Tri-County staff. Questions? Call 610-560-4800)
If "From Other Association" or "Secondary", please provide the name of the Association and years of membership. (i.e. Chicago Association of REALTORS®; 2003-2015)
Name (as it appears on your Real Estate license)
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Nickname
Real Estate License #
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Date of Birth
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MM
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DD
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YYYY
Cell Phone
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By providing their cell phone number, applicants for membership hereby acknowledge and consent to receive communications from the Association via the number provided on the application.
Preferred Contact Email (This will be your official email address in our system and connected to all of your membership benefits. If your email address changes, please contact Tri-County to update your contact information.)
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Residence Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Office Name (and branch location, if applicable)
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Broker/Office Manager Name
*
Office Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Office Phone
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Preferred Mailing Address
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Office
Home
Preferred Phone
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Cell
Office
Are you currently, or have you ever been, an active member of another REALTOR® Association?
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Yes
No
If yes, please provide your NRDS ID below:
Has your real estate license, in this or any other state, been suspended or revoked?
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Yes
No
If yes, specify the place(s) and date(s) of such action, and detail the circumstance relating thereto:
Have you been found in violation of state real estate licensing regulations or other laws prohibiting unprofessional conduct rendered by the courts or other lawful authorities within the last three years?
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Yes
No
If yes, please provide details below:
Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in the past three (3) years or are there any such complaints pending?
*
Yes
No
If yes, please provide details below:
Do you have another active real estate/appraisal license?
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Yes
No
If yes, please indicate state and license number:
Conditions of Membership
I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, may be grounds for revocation of my membership if granted. I further agree to meet the Code of Ethics requirement and Tri-County Suburban REALTORS® Membership Renewal Training requirement (see the Membership Criteria and Policies information provided at the end of the application form) required by the Association and, if accepted for Membership in the Association, shall pay the fees and dues as from time to time established. NOTE: Dues payments to Tri-County Suburban REALTORS® are not tax deductible as charitable contributions. Portions of such payments may be tax deductible as ordinary and necessary business expenses. No refunds.
By placing your name and date below, I consent that the REALTOR® Associations (Tri-County Suburban REALTORS®, Pennsylvania Association of REALTORS® and National Association of REALTORS®) and their subsidiary the Suburban REALTORS® Alliance may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership.
By adding your mobile telephone number to your membership application with Tri-County Suburban REALTORS® you have provided consent to receive text messages to the provided phone number on a reoccurring basis. The text message may include but are not limited to notifications concerning your membership. Such text messages may be sent using an auto dialer by Tri-County Suburban REALTORS® or other texting on its behalf. Messages and data rates may apply. You, and not Tri-County Suburban REALTORS® or its service providers, are responsible for payment of such charges. You agree that Tri-County Suburban REALTORS® is not liable for delayed or undelivered text messages. No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. For help with text messages, email info@tcsr.realtor or call Tri-County Suburban REALTORS® at 610-560-4800.
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Name
Date
New Member Orientation Registration
In order for a new Primary REALTOR® applicant to fulfill their membership requirements, they must complete a one-day orientation session provided by the Association. These sessions are offered monthly and you are expected to attend a session within 120 days of your application being processed. Failure to attend one of these sessions listed below may result in the forfeiture of your application and application fee.
Please mark the upcoming Orientation date you would like to attend:
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Thursday, November 14th (in-person only at Tri-County Suburban office, Malvern)
Thursday, December 12th (virtual only via Zoom)
Thursday, January 9th (in-person only at Tri-County Suburban office, Malvern)
NOTE: Orientation is from 9:00 a.m. - 1:00 p.m. Please mark your calendar accordingly
Payment Information
Membership Dues & Application Fee Breakdown by Month (per submission date of application) - New Primary REALTOR®
Membership Dues & Application Fee Breakdown by Month (per submission date of application) - Primary REALTOR® Re-Applicant
Membership Dues & Application Fee Breakdown by Month (per submission date of application) - Primary REALTOR® from Other Association
Membership Dues & Application Fee Breakdown by Month (per submission date of application) - Secondary REALTOR® Applicant
Total Charges Based on Month Joining (per chart above) $
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Commercial Chapter Membership Fee (OPTIONAL, provides access to additional benefits and services geared towards the commercial real estate practitioner)
$25
Total Amount to be Paid (Charges plus Commercial Chapter Fee, if chosen) $
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Method of Payment:
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Credit Card (VISA/MC/AMEX/DISC)
Check (NOTE: checks must be mailed or personally delivered to the association office. The application cannot be processed until received)
Name on Card
*
Credit Card
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
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Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Cardholder Address Option
Same as Residence Address
Different Address (please complete next question)
Cardholder Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Membership Criteria and Policies
(Click the graphic to open PDF)
Contact Information/Questions
Tina Lavelle
Tri-County Suburban REALTORS®
1 Country View Road, Ste. 201
Malvern, PA 19355
Phone: 610-560-4800; FAX: 610-560-4801
Email: tlavelle@tcsr.realtor
Web: tcsr.realtor
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