Application for Affiliate Membership in the
Greater Allegheny-Kiski Area Board of REALTORS^{®
P O BOX 235, NATRONA HEIGHTS, PA  15065-0235}

^{Telephone 724-226-8637    ~    Fax 724-226-8647    ~    Email executive@gakarealtors.com} 

I hereby apply for “AFFILIATE” membership in the above named board/association, and enclose my check in the amount of $                       , which I understand will be returned to me in the event I am not accepted to membership.    I further agree that my act of paying dues shall evidence my initial and continuing commitment to abide by the constitution, bylaws, rules and regulations of the board, all as from time to time amended. 

ARTICLE IV – MEMBERSHIP

Section 1 (c) – Affiliate Members.  Affiliate Members shall be real estate owners and other individuals or firms who, while not engaged in the real estate profession as defined in paragraphs (a) or (b) of this Section, have interests requiring information concerning real estate, and are in sympathy with the objectives of the Board.

Finally, I consent and authorize the board, through its membership committee or otherwise, to invite and receive information and comment about me from any member or other person, and I agree that any information and comment furnished to the board by any member or other person in response to any such invitation shall be conclusively deemed to be privileged and not form the basis of any action by me for slander, libel, or defamation of character. 

Representatives name   Title   

Business Address: 

City    State: PA     Zip      

EMAIL Business Phone:  FAX   

I hereby submit this application for your consideration and I agree that, if accepted for membership in the board, I will pay the fees and dues as from time to time established. 

Date:_____________________   Signature________________________________________________