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New Member Application
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Current Date
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Name
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First
Last
Company Name
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Company Address
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Company City
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Company State
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Company ZIP
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Cell Phone
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Other Phone
Email
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Birthdate
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Web Address
How did you hear about WCR?
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Renewing Member
Facebook
Instagram
Not Sure
Another REALTOR Invited Me
If another REALTOR invited you, what is their name?
Home Street Number and Name (This is not shown on the member site.)
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Home address city
Home address state
Home Address ZIP Code
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Local Network you are joining
Middle Tennessee
I give my permission to share my photo(s) that are taken at events on Facebook and this website.
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Yes
No
Do we have your permission to text message you with WCR information?
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Yes
No
Web Address or Social Media Link for Member Page
Type of Membership
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REALTOR
REALTOR - Associate
Affiliate
Were you a member over the past year?
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Yes
No
REALTOR Designations you have earned (If none, write none)
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NRDS ID number
I would like my mail sent to:
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Company
Residence
I understand the payment for a 12 month membership is $193.00
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Yes
Please upload your photo if we don't have one, or if you want to change it.
Click or drag a file to this area to upload.
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