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Rutland County Board of REALTORS®, Inc. Nora Moore, Association Executive P. O. Box 1008 Rutland, VT 05702-1008 |
PLEASE COMPLETE THIS FORM OF REQUIRED FIELDS FOR THE MEMBER FILE LAYOUT FOR ENTRY INTO THE MULTI-BOARD MANAGEMENT SYSTEM
The following fields are required for every member
Last Name: _______________________________________________________________________
First Name: _______________________________________________________________________
Social Security Number: ____________________________________
Home Address: _____________________________________________________________________
Home City: Home State: Home Zip: _______________________________________________________
Mailing Address: Including City, State, Zip: ________________________________________________
Home Telephone- Including Area Code: ______________________________________________
Home Fax: Including Area Code: ___________________________________________________
Prefer Mail Sent to Office:________________________Home:___________(check one)
Prefer Publications sent to Office:__________________Home:___________(check one)
Name: ______________________________________________________
E-Mail Address: ________________________________________________
Web Page Address: ______________________________________________
Date First Licensed in Vermont: VT Real Estate License Number
_________________________ __________________________
Date Joined REALTORS® Association: _________________________________________
Board Affiliations:
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Primary Board Affiliation:
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Primary State Affiliation:
______________________________________________ |
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Secondary Board Affiliation if any:
______________________________________________ |
Secondary State Affiliation if any:
______________________________________________ |
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Secondary Board Affiliation if any other:
______________________________________________ |
Secondary State Affiliation if any other:
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