Strategic Partner Application – WCR

Strategic Partner Application - WCR

Click here for STRATEGIC PARTNER INVITATION PACKAGE.

Name *

First

Last

Your Birthday *

Company Name *

Position at Your Company *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Office Phone *

Email *

Residence Address *

Address Line 1

Address Line 2

City

State

Zip Code

I would like mail sent to Company or Residence address:

Company
Residence

Website Address

Association of Realtors in which you hold membership (All applicants must supply this information): *

REALTOR®
REALTOR® ASSOCIATION STAFF
AFFILIATE
OTHER

NRDS ID Number (REALTORS® Only)

Were you a National Women's Council member in the past 12 months *

Yes, in the last 12 months
No, not in the last 12 months

I would like: *

To Become a Platinum Partner, $1,000
To Become a Gold Partner, $500
To Become a Silver Partner, $300
For Someone to Contact Me, I Still Have Questions

Platinum Sponsors - 2nd Affiliate Representative

First

Last

Phone - 2nd Affiliate Representative

Email - 2nd Affiliate Representative *

I would like to pay in the following manner: *

Check
Venmo
Credit Card
Cash
Other

I understand payment is due within 30 days of this commitment. *

Yes
No

Who Invited You to Participate?

Please upload your logo. *

Click or drag a file to this area to upload.

Message (if any)

Women's Council of REALTORS®

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