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Sponsor Applicant Information

Important Note: Please use appropriate upper and lower case throughout the entire application.

Name

First:

Last:

Suffix:

Nickname (if applicable):

Mobile Phone:

Home Address

Street Address:

Address Line 2:

City:

State / Province:

Postal / Zip Code:

Country:

Date of Birth:

Email:

Gender

Male

Female

Other Mailing Address

Street Address:

Address Line 2:

City:

State / Province:

Postal / Zip Code:

Country:

Sponsorship Options

I am applying for the following sponsorship:

*DISCLAIMER: As a Diamond Community Partner $2,500 of your payment will be considered a political contribution. REALTORS® Political Action Committee Contributions are split accordingly: 30% will be allocated to the NAR Political Advocacy Fund, 35% to the Georgia Association of REALTORS® Political Action Committee, and 35% to the Atlanta REALTORS® Political Action Committee. For more information about RPAC, visit atlantarealtors.com/rpac.

Please indicate whether or not you wish for a portion of your payment to go towards a political contribution.

I understand that $2,500 of my payment will be allocated to a political contribution.

I do NOT wish to allocate any of my payment to a political contribution.

*DISCLAIMER: As a Platinum Community Partner $1,000 of your payment will be considered a political contribution. REALTORS® Political Action Committee Contributions are split accordingly: 30% will be allocated to the NAR Political Advocacy Fund, 35% to the Georgia Association of REALTORS® Political Action Committee, and 35% to the Atlanta REALTORS® Political Action Committee. For more information about RPAC, visit atlantarealtors.com/rpac.

Please indicate whether or not you wish for a portion of your payment to go towards a political contribution.

I understand that $1,000 of my payment will be allocated to a political contribution.

I do NOT wish to allocate any of my payment to a political contribution.

Payment Information

Sponsorship recognition applies to a calendar year. Benefits provided will be from January 1 - December 31st.

I would like to pay by:

First Name (as it appears on your card):

Last Name (as it appears on your card):

Credit Card Number:

Card Verification Code (CVC):

Expiration Month:

Expiration Year:

Copy Billing Address From:

Billing Address:

Billing Address Line 2:

Billing City:

State/Province:

Postal / Zip Code:

Make check payable to the: Atlanta REALTORS® Association
Submit payment to the Association office at: 5784 Lake Forrest Drive, Atlanta, GA 30328

Important Next Step...Don't Forget to Claim your Affiliate Membership(s)!

Emerald, Silver, Gold, and Diamond Partnership include complimentary Affiliate membership! Emerald & Silver provides one (1), Gold provides two (2), Platinum and Diamond includes four (4) Affiliate memberships. If you or someone else from your company would like to claim a complimentary membership, please submit a separate online membership application form. You'll find our Affiliate membership application online at atlantarealtors.com/membership/join. In the payment section, there will be an option to select a complimentary membership for your payment type.

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Existing or Past Members

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Sponsor Applicant Information

Name

Home Address

Company Information

Other Mailing Address

Sponsorship Options

Payment Information

Important Next Step...Don't Forget to Claim your Affiliate Membership(s)!