New Individual Affiliate Application

Instructions

This application is for Individual Affiliates who would like to be a part of the Yuma Association of REALTORS®. This membership is only for one person. If that person leaves the company, then the company no longer has a membership.

If you are a member of a larger company and would like more than one contact for the company, please fill out the New Company Affiliate Application instead.

Select Your Option(s)

New Individual Affiliate Membership

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOffice Name

Please select a valid membership option and fee item if exist