Business Partner Application

Membership Fees:

One Time Application Fee: $50
Prorated Annual Dues: $180 if paying between January and June / $90 if paying between July and December

Name of Applicant:

Please list the name of the applicant as it should be listed in our Business Partner Directory.

First Name(Required)

Last Name(Required)

Business Name:

Please list the name of the business as it should be listed in our Business Partner Directory.

Business Name(Required)

Business Address:

Please list the address as it should be listed in our Business Partner Directory.

Street Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Phone Number:(Required)

Phone Fax Number:

Fax Number is optional.

Email:(Required)

Company Website:

Please list your company's website (optional).

Type of Business:(Required)

Other

I Will Be Paying:

$140.00

Please note: The above total fee includes a one-time $50.00 application fee.

Payment Type:

We accept Cash, Check, Visa, Mastercard, American Express.

Check - Please make check payable to "Realtor Association".
Mail your payment to the Association office or pay in person at:
3320 Loveland Blvd. Port Charlotte, FL 33980.

Credit Card (Please call Rodrigo Florez, Membership Coordinator, at 941-258-3041 to pay over the phone.)

Agreement:

Disclaimer(Required)

By checking this box, I agree that the information submitted in this application is correct to the best of my knowledge and I allow the Association of Realtors to bill the full Application Fee and Membership Dues as outlined above.

Comments/Special Request:

Accounting
Air Conditioning
Apraisal Services
Attorney/Legal Services
Builder/Contractor
Clubs
Disaster Restoration
Govt/Non-Profit
Home Services/Home Watch
Hair Salon
Inspection Services
Insurance Services
Interior Design/Decor
Investment Services
Lawn/Landscaping
Lenders/Banking
Media/Newspapers
Moving Services
Painting Services
Photography/Videography
Pool Services
Printing/Marketing
Real Estate Schools
Shopping/Retail
Sign Installation
Surveying Services
Title Services
Website Design
Other (please describe below)