Become A Member Please call the office for our Prorated Monthly Dues and the upcoming dates for the mandatory New Member Orientation and the Ethical & Professional Practices of Realtors class. Our number is 970-669-1822 NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint or arbitration request pending, the Board of Directors may condition renewal of membership upon applicant’s certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.I hereby apply for REALTOR® Membership in the Loveland-Berthoud Association of REALTORS® and am mailing my check in the amount of $ ___________ (prorated according to month joining), which I understand will be returned to me in the event I am not accepted to membership. In the event my application is approved, I agree to abide by the Code of Ethics of the National Association of REALTORS®, which includes the duty to arbitrate, and the Constitution, Bylaws and Rules and Regulations of the Loveland-Berthoud Association of REALTORS®, the Colorado Association of REALTORS® and the National Association. I understand membership brings certain privileges and obligations that require compliance. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements, such as the New Member Orientation and the 6-hour Ethics and Professional Practices Class, not be completed within the 90 day timeframe established in the association’s bylaws. I understand that I will be required to complete periodic Code of Ethics training as specified in the association’s bylaws as a continued condition of membership.Please indicate amount you are sendingName as shown on license:*Nickname:*Name as you want it to appear on roster:*Real Estate License #:*Licensed/certified appraiser:*YesNoAppraisal License #:Gender:MaleFemalePrefer not to discloseDate of Birth (optional):Email* Would you like to have your email address published on the LBAR website?*YesNoOffice Name:*Office Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Office Phone:*Office Fax:Residence Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone:*Fax:Preferred Mailing:*HomeOfficePreferred Phone:*CellOfficeIf you are now or have ever been a REALTOR®, indicate your NAR membership # (NRDS) and last date of completion of NAR's Code of Ethics training requirement:If applicable, please upload a copy of your NAR certificate:Are you presently a member of any other Association of REALTORS®?*YesNoIf yes, name of Association and type of membership held:Have you previously held membership in any other Association of REALTORS®?*YesNoIf “yes”, name each Board/Association, type of membership held, and dates establishing the time period for which membership was held:Do you hold, or have you ever held, a real estate license in any other state?*YesNoIf yes, please specify name of state.Has your real estate license, in this or any other state, been suspended or revoked?*YesNoIf yes, specify the place(s) and date(s) of such action, and detail the circumstances relating thereto: (attach separate sheet, if necessary)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?*YesNoIf yes, provide details as an attachment.Date first licensed in Colorado* Date Format: MM slash DD slash YYYY Have you been continuously licensed since then?*YesNoIf No, date when re-licensed. Date Format: MM slash DD slash YYYY Do you want to be included on our email Rookie List?*YesNoDo you want to be included on our email NoCO YPN(Young Professional) List?*YesNoI 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, shall be grounds for revocation of my membership if granted. I further agree that, if accepted for membership in the Association, I shall pay the fees and dues as from time to time established. NOTE: Payments to the Loveland-Berthoud Association of REALTORS® are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. No refunds. Consent* I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS, Foundation) 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 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.Signature* Please type your name Date* Date Format: MM slash DD slash YYYY Today's datePhoneThis field is for validation purposes and should be left unchanged.