Livingston Chapter

WCR isn’t just another association. Join us, and you’ll discover an environment that makes the most of your skills, talents and ambitions. Join the countless professionals—men and women, established professionals and newcomers—who look to WCR as a community that both supports and encourages their success.

Name ___________________________________________________

Business Name ____________________________________________

Business Address__________________________________________

City/State_______________________ Phone ____________________

Fax _________ E-mail ______________ Website _________________

Residence Address _________________________________________

City/State_________________________________________________

Phone ___________Fax__________ E-mail ______________________

I would like my mail sent to my ÿ business ÿ home

Local Chapter you are joining : ______________________________

Board of REALTORS^®in which you hold membership______________________

Type of membership held: ÿ REALTOR^® ÿ REALTOR-ASSOCIATE^®ÿ Affiliate

Year you became active in real estate? _________

Were you a national WCR member in the past 12 months? __________

REALTOR^® designations you have earned_____________________________

NRDS number__________________________

For National Affiliate applicants only: one of the below MUST be checked to become a National Affiliate WCRmember

Is your REALTOR^®Board membership under your name? ÿ your company name? ÿ

DUES AMOUNT OWED

National dues:          $   126.00

            State dues:    $    20.00

         Local dues:     $     4.00

         Total Dues:      $ 150.00

METHOD OF DUES PAYMENT

Check for $ __ payable to WCR is enclosed

Charge $ to my    ÿ Visa      MasterCard      American Express          Diners Club     Discover Card

Credit Card # _ Expiration Date

Signature _______________________ Date

For Local Chapter Use Only: Verify all REALTOR^® Board information, dues amounts and payment information before forwarding this application.   Sponsored by_

Application Processed by_ Date___________________

Make Checks Payable to WCR and forward application to:

Janene Spencer-Zweng

RE/Max Platinum

517-304-2815

jzweng@ymail.com