I hereby apply for Affiliate membership in the Long Island Board of REALTORS®, Inc. (LIBOR). I understand that this is a single person membership, not a company membership, and that other employees of my company may join separately as Affiliate Members.

I agree to abide by the by-laws of LIBOR and to the terms and conditions herein. I understand that LIBOR reserves the right to change, limit or eliminate the Affiliate Membership Program or any of its benefits at any time. I also understand that LIBOR has the right to change the terms and conditions of membership, including dues amount, if any, at any time.

I agree that Affiliate Member benefits may only be used for my registered Affiliate Business. Affiliate Members cannot use any benefit offered through the Affiliate Membership Program to promote or perform any licensed real estate activity. All components of the Affiliate Membership Program are non-transferable within the company or to another individual.

I understand that my continued membership in the LIBOR Affiliate Membership Program is dependent on my timely payment of all dues as charged by LIBOR. I acknowledge that dues and fees are non-refundable and not prorated and that annual membership begins from the date that my Affiliate membership was initially approved.

I expressly authorize LIBOR and its subsidiaries or representatives to call, fax, or e-mail me, at the phone number, fax number and e-mail address above with respect to any goods or services offered or promoted by LIBOR. I understand that this consent also applies to changes in contact information that I may provide to LIBOR in the future. I also expressly authorize LIBOR to include my name, company name, company logo, address, phone number and e-mail address in all marketing communications, both online and offline.

I agree and understand that LIBOR reserves the right, in its sole discretion, to reject any application, terminate membership at any time, and/or deny a request for membership renewal on the basis of the nature of the business or conduct that is inconsistent with or adverse to the objectives and purposes of LIBOR, or that could bring LIBOR negative publicity or be injurious or prejudicial to LIBOR’s reputation, financial condition, business relationships or interests.

I agree that non-compliance with the terms and conditions herein will result in the immediate termination of my Affiliate Membership, including all member benefits. I agree that should I cease to be an Affiliate Member I will discontinue use of the term Affiliate and discontinue use of the Affiliate Member logo in any manner whatsoever.

I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership, if granted. I agree to abide by any applicable LIBOR rules. I understand that LIBOR may change the rules in its sole discretion and that I am obligated to abide by the rules as revised from time to time.