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Application for Designated REALTORŪ Membership

To the Bucks County Association of REALTORS®, Inc.:

I hereby apply for Designated REALTOR®/Secondary Designated REALTOR® (holds primary membership with another association) Membership in the above-named Association, and agree to pay the required amount based on the current published dues schedule. The application fee and current year dues will be returned in the event of non-election.  I agree to abide by the Code of the Ethics of the NATIONAL ASSOCIATION OF REALTORS®, which includes the duty to arbitrate, and the Constitution, Bylaws and Rules and Regulations of the above-named Association, PENNSYLVANIA ASSOCIATION OF REALTORS® and NATIONAL ASSOCIATION, ASSOCIATION OF REALTORS®. I understand membership brings certain privileges and obligations that require compliance.  Membership is final only upon approval by the Board of Directors of the Association.  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.


Application Type
First Name
Middle Initial
Last Name


Office Name
Office Address
Office Phone
Office Fax Number
Office Website
What date was your licensed issued to this office?
Real Estate or Appraisal License Number


Home Address
Please select your preferred mailing address.
Home Phone
Cell Phone
Please select your preferred Telephone Number.
Preferred Email Address
Secondary Email Address
Personal Website


Please indicate all languages in which you are fluent:


Real Estate Specialty - Select up to four
 Brokerage Manager
 Property Manager


Are you presently a member of any other Association/Board of REALTORS?
Have you previously held membership in any other Association of REALTORS?
If you answered "Yes" to either question above please provide your 9 digit NRDS number.
Have you been found in violation of the Code of Ethics in the past 3 years?
Do you have any pending complaints in any Association of REALTORS?
Last date you completed NAR's Code of Ethics training requirement?


Are you a principal, partner, corporate or branch manager?

If yes, you must also complete the following part if this application.

Type of Company- Select One
 Sole Proprietor
Your Position- Select One
Please provide the names of other partners/officers of your firm.
Is the office address, as stated, your principal place of business?
If not, or if you have any branch officers, please indicate and provide addresses:
Do you hold, or have you held a real estate license in any other state?
If so, specify
Have you or your firm been found in violation of state real estate licensing regulations within the last three years?
If yes, provide details.
Have you or your firm been convicted, adjudged, or otherwise recorded as guilty by a final judgment of any court of competent jurisdiction of a felony or other crime?
If yes, provide details.


DESIGNATED REALTOR® Membership - Broker of Record and/or Appraiser

BCAR Application Fee $150   Waived for 2021

PAR Application Fee / PAR Capital Investment Fee $100

Dues $525 (full year…pro-rated amounts below)


Prorated Dues Amount (Please select one)
 January $525.00
 February $484.24
 March $443.40
 April $402.56
 May $361.72
 June $320.88
 July $280.04
 August $239.20
 September $198.36
 October $157.52
 November $116.68
 December $75.84

I 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 Bucks County Association of REALTORS® are not deductible as charitable contributions.  Such payments may, however, be deductible as an ordinary and necessary business expense.  No refunds of any such payments shall be provided by the Association.  By signing below, I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, Suburban Realtors® Alliance and the Bucks County Real Estate Institute, may contact me at the specified address, telephone numbers, fax numbers, email addresses or other means of communication available.  This consent applies to changes in contact information that may be provided by me to the Associations(s) in the future.  This consent recognizes that certain state and federal laws may place limits on this consent.


Signature (Please enter your full name)
Date of Application


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