Paulding Board of REALTORS 2018 High Achievers Application

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Application Deadline: Friday, January 25, 2019, 5:00 pm Application Fee: $125 Transactions must have closed during 2018 (Eligible transactions: Resale, New Homes, Land and Commercial - No Credit is allowed for Leases) Section 1 Please check appropriate category of membership you are applying for: (only one category) Individual agent Name Company Office Phone # Team (Team Leaders or Team Partnerships) Teams are defined as 1 or more licensed individuals working with or for the Applicant at any time during the qualifying year. Team Leader Name or Team Partners Names Team Name Company Office Phone # Section 2 Team Member Names: (In addition to the Team Leader or Team Partners)) Starting Date with Team Ending Date with Team (if applicable) 1. 2. 3. 4. 5. (IF MORE THAN 5 TEAM MEMBERS, PLEASE ATTACH ADDITIONAL PAGE)

Section 3 - Only complete if you have previously been a member of another REALTOR association. If you were in an Association other than Paulding during 2018, please provide the following: Name of Assoc. Effective Mem. Date Have you ever been a member of another High Achievers type program? If so: Name of Assoc. Years in awards program: ( Please list all years not just cumulative total) Section 4 - Please select your membership category Membership Category: Member - This will be my first year receiving recognition. Active Member - This will be my second, third or fourth year receiving recognition. Life Member - This will be my fifth year receiving recognition. Active Life Member - This will be my sixth, seventh, eight or ninth year receiving recognition. Phoenix - This will be my 10th year receiving recognition. Active Phoenix - This will be my 11th, 12th, 13th or 14th year receiving recognition. Diamond Phoenix - This will be my 15th year receiving recognition. Active Diamond Phoenix - This will be my 16th, 17th, 18th or 19th year receiving recognition. Emerald Phoenix - This will be my 20th year receiving recognition. Active Emerald Phoenix - This will be my 21st, 22nd, 23rd or 24th year receiving recognition. Platinum Phoenix - This will be my 25th year receiving recognition. Active Platinum Phoenix - This will be my 26th or greater year receiving recognition.

Section 5 - TOTAL VOLUME CLAIMED: Paulding Board of REALTORS Total Current Company: $ Total Previous Company: $ Total Volume Claimed $ Section 6 Check the following that apply: Application Fee per Individual and Team Leader: (quantity) x $125 = $ (Includes standard plaque, and one (1) Dinner Ticket for the recipient, which is non-refundable, and non-transferable) Optional Purchases: (To see photos of optional awards, please visit pauldingrealtors.com) Upgrade to a Glass Phoenix Plaque: (quantity) x $75 = $ Glass Phoenix Award: (quantity) x $280 = $ (Can be purchased for any level Phoenix Award) Total Application Fees & Awards Purchased: $ Next Steps: 1. Submit a photo (digital, 200+ dpi) by email to photos@pauldingrealtors.com a. Please label as lastname, firstname.jpg or team name.jpg if the photo is of the full Team. 2. Additional Dinner Tickets for the event can be purchased at pauldingrealtors.com

Agent Certification Agent/Team Leader Paulding Board of REALTORS I, (please print), hereby make application for membership in the High Achievers of the Paulding Board of REALTORS and hereby certify that I personally handled the following real estate transactions, (as evidenced by the attached information which I also verify as accurate) during the period of January 1, 2018 through December 31, 2018. I understand that the required documentation is the responsibility of the applicant and is subject to verification. I also understand that all awards are to be paid for by the time of application. Respectfully submitted (Applicant s/ Team Leader s signature) Current Designated REALTOR / Managing Broker I, (Current Broker) of (Company) swear that I have read the rules and regulations of the High Achievers of the Paulding Board of REALTORS and that the named applicant is qualified for admission under said rules. I have read and reviewed the application of and I warrant that this application is true and correct and in accordance with our records showing total volume of $ and that there were no cooperating agents except as shown either in or out of our office. I understand that should there be any errors in form or content of the above application, other than typographical; the application submitted shall be disqualified without prejudice. I certify that I am a REALTOR member of the Paulding Board of REALTORS, and that all membership requirements have been met by this applicant. Respectfully submitted (Broker s Signature) Previous Designated REALTOR / Managing Broker (Use only if applicant transferred to another company during 2018) I, (Previous Broker) of (Company) swear that I have read the rules and regulations of the High Achievers of Paulding Board of REALTORS and that the named applicant is qualified for admission under said rules. I have read and reviewed the application of and I warrant that this application is true and correct and in accordance with our records showing total volume of $ and that there were no cooperating agents except as shown either in or out of our office. I understand that should there be any errors in form or content of the above application, other than typographical; the application submitted shall be disqualified without prejudice. I certify that I am a REALTOR, and that all membership requirements have been met by this applicant Respectfully submitted (Previous Broker s Signature)

VERIFICATION REPORT FOR STAFF ONLY For Board Staff Only Yes No Check # For Board Staff Only Verified by Award fee paid? DR cert. letter signed? Dues paid? Correct name in computer? Member qualifying year? Member of Another Association? Effective Membership Date Photo included? Total Award Years RAMCO Code Notes