CTXMLS Member Application - Victoria Area Association of REALTORS®

First Name *

Middle Initial

Last Name *

Email Address *

TREC License Number *

License Type *BrokerAgent

Broker's Full Name *

Broker License Number *

Office Name *

Full Office Address *

Office Phone *

Full Home Address *

Cell Phone *

Preferred Publication Mailing *Home AddressOffice Address

Preferred Billing/Association Mailing *Home AddressOffice Address

Preferred Phone *OfficeCell

Please enter your NRDS Number (National REALTOR® Database System) if known

Lookup Your NRDS Number

NRDS Lookup

Are you a member of another Board or Association of REALTORS®? *YesNo

If yes, which Board or Association do you belong to?Austin Board of REALTORS®San Antonio Board of REALTORS®Houston Board of REALTORS®Other

If other, please provide name(s) of Board or Association of REALTORS you currently belong to.

If you have been a REALTOR Member before, do you have any unsatisfied discipline pending for a violation of NAR's Code of Ethics?YesNo

If yes, please provide a short summary of the details of the violation.

Do you have an existing Supra eKey that needs to be coop'd with our system? If Yes, please enter your Supra eKey Serial Number and Pin in the blanks provided.YesNo

eKey Serial Number

eKey Pin Number

Membership Application