KENOSHA REALTORS ASSOCIATION, INC TH AVE. KENOSHA, WI PHONE: (262) FAX: (262)

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1 KENOSHA REALTORS ASSOCIATION, INC TH AVE. KENOSHA, WI PHONE: (262) FAX: (262) APPLICATION FOR MEMBERSHIP IN THE MULTIPLE LISTING SERVICE OF THE KENOSHA REALTORS ASSOCIATION, INC. Participant s Name (as it appears on your License): Managing Broker Name: Business Name: Office Address: City: State: Zip: Office Phone #: Office Fax #: Broker Lic #: Fed Id #: Corporate Lic #: Primary Board of REALTORS Membership is with: Residence Address: City: State: Zip: Phone #: Cell Phone #: I hereby apply for membership in the Multiple Listing Service of the Kenosha REALTORS Association, Inc. I actively endeavor to list or sell property of the type in the MLS on a continual basis. I agree to abide by and conform to the Bylaws and Rules and Regulations and other applicable rules of the Multiple Listing Service of the Kenosha REALTORS Association, Inc. and the Bylaws of the Kenosha REALTORS Association, Inc., as from time to time adopted and amended and to pay the costs incidental thereto. I understand my application is pending until approved by the MLS Board of Directors and that I am required to attend an orientation program for my participation in the MLS, after MLS access has been provided. Discontinuance of Membership in the Kenosha REALTORS Association, Inc. for any cause shall automatically cancel membership in the Multiple Listing Service. My payment of $ for participating membership in the Multiple Listing Service is attached. I understand the fee is nonrefundable. The monthly MLS service fee must be paid by the 25 th of each month. Unpaid bills will cause suspension of my Multiple Listing Service. The following agents are licensed under my firm: Sign Here: Date: OFFICE USE ONLY: MLS OFFICE #: MLS APPLICATION PENDING DATE: MLS DIRECTORS APPROVAL DATE: MLS ORIENTATION DATE: Form-A-New Office Application Form AR MAY 2010

2 KENOSHA REALTORS ASSOCIATION, INC TH Avenue Kenosha, WI Phone: (262) Fax: (262) MLS PARTICIPATION AGREEMENT (FOR MLS ACCESS BY REALTOR (PRINCIPALS) OR FIRM COMPRISED OF REALTOR (PRINCIPALS) WHO ARE NOT MEMBERS OF THE BOARD/ASSOCIATION.) NAME: SS # ADDRESS: PHONE #: CITY: STATE: ZIP: CELL #: OFFICE NAME: OFFICE CODE(office will issue) ADDRESS: CITY: STATE: ZIP: BROKER/MANAGER NAME: PHONE #: FAX #: PRIMARY BOARD OF ASSOCIATION: I agree as a condition of participation in the MLS to abide by all relevant bylaws, rules and regulations and 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 any 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. Sign: Date: NOTE: If the board intends to discipline MLS USERS AND /OR SUBSCRIBERS directly, each user and /or subscriber must sign this form in the space provided. Please refer to the section of the HANDBOOK ON MULTIPLE LISTINGS POLICY (RESIDENTIAL) entitled APPLICABILITY OF RULES TO USERS AND/OR SUBSCRIBERS for additional information on establishing authority to impose discipline on non-principal users or subscribers affiliated with MLS members or participants. Form- B-MLS Participation Agreement AR MAY 2010

3 MLS NEW OFFICE INFORMATION Owner s Name (First, Middle Initial, Last) Designated REALTOR Office Name Office Code (office will issue) Office Street Address City, State, Zip (+4 if available) Office Mailing Address City, State, Zip (+4 if available Office Phone # Fax # Cell Phone # address DR s Primary Board of REALTORS Membership is with Form-C-New MLS Office Information AR MAY 2010

4 NEW MLS MEMBER INFORMATION PLEASE PRINT Name (First, middle initial, last) Agent Code (Office will Issue) Gender (m/f) Date of Birth Social Security # Login Name Password (Office will issue) Home Address Home Phone # City, State, Zip Cell Phone # Pager # Fax # Address Internet Web Address Real Estate License # Appraiser License # Primary Board of REALTORS membership is with Office Name Office Code (Office will issue) Street/City/State/Zip Is this a new Office Yes No FORM-C-New MLS Member Information AR MAY 2010 FORM-D

5 KENOSHA REALTORS ASSOCIATION, INC. NEW MEMBER COMPLETION SHEET DATE: ACCT #: AGENT CODE: NAME: ADDRESS: CITY: STATE: ZIP: PHONE: ( ) SS #: ADDRESS: PAGER #: OFFICE NAME: OFFICE ADDRESS: OFFICE CODE #: (office will issue) CITY: STATE: ZIP: PHONE:( ) FAX: ( ) BROKER NAME: MEMBERSHIP TYPE: (office will issue) OFFICE USE BELOW TOTAL FEE PAID: $ KRA $ NAR $ WRA $ NAR ASM $ KRA APP $ WRANM $ RECEIPT DATE: CHECK # Q&A MEMBER RECORDS: Q&A OFFICE RECORDS: EXCEL MEM MEETINGS: STATISTICAL RPT: MLS & KRA QB: WEB PAGE: EXCEL CODE OF ETHICS: WRA TRANSMITTAL COMPL: IMIS: AGENT CODE LTR: MLS BILLING ADJUSTMENTS: START MLS ON (DATE): SENTRILOCK KEY CARD: COPY OF LICENSE: LETTER OF GOOD STANDING: SENTRILOCK LOCK BOXES: ORIENTATION-1st NOTICE (DATE): 2nd NOTICE (DATE): ATTENDED: MEMBER COMMITTEE APPROVAL DATE: INDUCTION DATE: CODE OF ETHICS DATE DIRECTOR APPROVAL DATE: PAID WRA DUES: PAID NAR DUES: Form-New Memb. Comp. Sheet AR MAY 2010 FORM-E

6 REALTORS ASSOCIATION MARKETING CONSENT FORM Name: Business Name: Address: City, State, Zip: Telephone #: ( ) ( ) Fax #: ( ) ( ) Address: I understand that by providing above my mailing address, address, telephone number(s), and fax number(s), I consent to receive communications sent from the Kenosha REALTORS Association, Inc. and the Multiple Listing Service of the Kenosha REALTORS Association via U.S. mail, , telephone or facsimile at those number(s)/location(s). Signature: Please Print name: Date: Form-Consent Form AR MAY 2010 FORM F

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