Join CCAR - Corpus Christi Association of REALTORS

Affiliate Application Form

Personal Information

First Name:

Last Name:

Home Address:

Address Line 2:

City:

State:

Zip Code:

Phone:

Email Address:

Date of Birth:

Inspector License Information

Name as it appears on TREC License:

TREC License #:

Expiration Date

License Type

Inspector Certified Appraiser

Company Information:

Office Name:*

Type of Business:*

Office Address:

Address Line 2:

City:

State:

Zip Code:

Phone:

Fax:

Office E-mail:

Office Webpage:

Membership Agreement:

TO: Corpus Christi Association of Realtors^®

I hereby certify that the foregoing information furnished by me is True and Correct.

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.

I Agree to abide by the Constitution and Bylaws of the Local Association to which this Membership is directed, of the National Association of REALTORSÂ® of the United States with which it is Affiliated, and of the Affiliated State Association if such Affiliation exists.

Affiliate Signature Please type your name*

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