<p> SOUTHWEST IOWA ASSOCIATION OF REALTORS®, INC. APPLICATION FOR MULTIPLE LISTING SERVICE BROKER PARTICIPATION</p><p>Date of Application:______</p><p>I hereby submit the following information for your consideration:</p><p>Name as shown on license (please print) ______</p><p>Preference: Title Mr.___ Mrs.___ Ms.___ Dr.___ Name______</p><p>License #.______License Exp. Date ______</p><p>Last four digits social security #_____-_____ -_____</p><p>Date of Birth______</p><p>Firm Name: ______</p><p>Firm Address:______</p><p>Residence Address:______</p><p>Company Website Address:______</p><p>E-mail Address:______</p><p>City ______, State______Zip______</p><p>Office Phone ( ) ______Home Phone ( ) ______</p><p>Supra Key Serial Number______Pin #______</p><p>NRDS Number ______</p><p>Are you a current or former member of the Southwest Iowa Association of REALTORS® or any other Board/Association? If yes, where ______Join Date:______MLS Application Page Two</p><p>Have you ever been convicted of a felony? Yes_____ No_____</p><p>What REALTOR® professional designations do you hold?</p><p>____ABR Accredited Buyer Representative ____ABRM, Accredited Buyer Representative Manager</p><p>____ALC, Accredited Land Consultant ____CCIM, Certified Commercial Investment Member®</p><p>____CIPS, Certified International Property Specialist ____CPM, CERTIFIED PROPERTY MANAGER®</p><p>_____ CRB, Certified Real Estate Brokerage Manager _____CRS®, Certified Residential Specialist®</p><p>____CRE, Counselor of Real Estate ____GAA, General Accredited Appraiser</p><p>____GRI Graduate REALTOR Institute ____PMN, Performance Management Network</p><p>_____ Residential Accredited Appraiser _____SIOR, Society of Industrial and Office EALTORS®</p><p>MLS BROKER PARTICIPATION MEMBERSHIP APPLICATION</p><p>I,______of______Name Company</p><p>______, ______Address City State Zip</p><p>I hereby apply for membership in the Southwest Iowa Association of REALTORS® Multiple Listing Service. In event of my election, I agree to abide by the Operating Rules and Regulations of the Multiple Listing Service and the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS®</p><p>______Applicants Signature</p><p>Fees: The Broker will pay a one time initiation fee as the MLS Participant for $500.00 Make checks payable to Southwest Iowa Association of Realtors. Most major credit cards are accepted. Monthly MLS Fees for each Iowa licensed agent hanging under your brokerage firm including the broker - $45.00. The brokerage firm will be invoiced monthly for MLS fees. SECTION 3.10 MLS ONLY PARTICIPANT AND SUBSCRIBER FEES The Designated Realtor/Participant will be invoiced each month for the number of Iowa licensees hanging under the Participant’s firm. An audit of Iowa licensees will be performed by the association staff quarterly.</p><p>SECTION 3.10 NOTIFICATION OF NEW AGENTS All Designated REALTORS shall notify the Board of any additions to their licensed sales staff within 7 days of such changes. All changes must be in writing and signed by the designated REALTOR. Failure to make notification within the designated period will result in a $25 fine. 7/8/75 Attached documents: Flexmls & SWIAR instructions and MLS Rules & Regulations </p>