Affiliate Membership Application Back to Members Page Printable PDF Form Affiliate Membership Application Affiliate members shall be real estate owners and other individuals or firms who, while not engaged in brokerage of real property, have interests requiring information concerning real estate and are in sympathy with the objectives of the Board. Companies may have more than one (1) affiliate member. The first person will serve as the Primary Affiliate with any additional, serving as Secondary Affiliates. Name * First and Last Email Address * Company * Name of firm/company/business Company Phone Number * Primary business line Your Direct Line or Voicemail Your direct line or extension Website Firm's website address Fax Number Firm's fax number Business Mailing Address * Business Mailing Address Firm's Street Address Firm's Street Address Apartment/Building/Suite # Apartment/Building/Suite # City City State State Zip Zip Home Mailing Address Home Mailing Address Your Street Address Your Street Address Apartment/Building/Suite # Apartment/Building/Suite # City City State State Zip Zip Cell Phone Number * Your Mobile Phone NumberWhich number do you prefer for calls? * Firm's Primary Your Direct Line Cell Phone OtherOtherWhich address do you prefer we send mail to? * Home Office OtherOther Type of Business * Appraisals Builders Contaminant Removal Education Government Home Inspection Home Security Home Warranty Insurance Investments & Financial Planning Junk Removal & Hauling Lending Loan Closing Movers and Storage Photography Radon Testing & Remediation Remodeling & Restoration Surveyors Title Other Type of BusinessAre you a member of other Board of REALTORS® * Yes No Please list other Board memberships: * Would you like to join the Affiliate Committee? * Yes NoMedina County Board of REALTORS® has my consent to: (check box for consent) * Fax me information Email me information Release my email & fax to other members of the Medina County Board of REALTORS None of the aboveType of Affiliate Membership’s Annual Dues and Fees: * Primary Member (First member in company): $225 Total (Includes $50 Sponsorship Fee + One-Time Application Fee of $50) Secondary Member (Additional members in company): $75 Total (Includes $35 Sponsorship Fee)Your total due is $225. Your application will be processed once payment is received. Please choose your payment method: * Pay online (credit card) Mail my payment (check)Your total due is $75. Your application will be processed once payment is received. Please choose your payment method: * Pay online (credit card) Mail my payment (check) Mail a check Please include your name, firm name, and date of online application with your check, and mail to:Affiliate Member Services c/o Medina County Board of REALTORS® 2530 Medina Road, Ste. 100 Medina, Ohio 44256 Pay Online To pay online, follow this link to access our secure payment page .You can also access the payment page at any time with the "Pay Here" button, located in our website's footer.*Note: Affiliate Dues run the calendar year and will be prorated ½ year for all Affiliates joining after June 30. Submit If you are human, leave this field blank.