Which best describes your professional role or area of focus?* Name*
First
Last
Commercial Designations (i.e. CCIM, SIOR, CPM, MAI)
Preferred First Name
First
Licensed Broker Information Date of Birth* Do you, or have you ever held, a real estate license in any other state?* Which State?*
Have you been found in violation of state real estate licensing regulations with in the last three years?* Have you ever been convicted, adjudged, or otherwise recorded as guilty by a final judgement of any court competent jurisdiction of a felony or other crime?*
Company Information Business Address:*
Preferred Mailing Address (if different than business address) Renewal invoices and formal member communications will be sent to your business address unless an alternate mailing address is provided.
Preferred Phone (to be listed in membership directory)* Is the office address as stated, your primary place of business?* If not, or if you have any branch offices, please indicate and give address:
Your Position*
Licensed Broker Additional Information Specializations (Check all that apply)* I'm interested to learn more about: How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
Appraiser Information Date of Birth*
Company Information Business Address (to be listed in membership directory)*
Mailing Address (if different than business address)
Appraiser Additional Information I'm interested to learn more about: How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
EDC/Government Organization Information Business Address (to be listed in membership directory)*
Mailing Address (if different than business address)
Main Contact* This individual will serve as the primary member representing your organization.
First
Last
Designations
As an added benefit to your organization--additional company contacts can be added, they will be receive the member discount to all events and be included on CREA-IN newsletters. Please note: The company & main contact are considered the member, additional contacts just receive benefits.
Additional Company Contact
First
Last
Additional Company Contact
First
Last
Additional Company Contact
First
Last
EDC/Government Additional Information Type of Organization* I'm interested to learn more about: How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
Partner Company Information Business Address (to be included in membership directory)*
Mailing Address (if different than business address)
Main Contact* This individual will serve as the primary member representing your organization.
First
Last
As an added benefit to your organization--additional company contacts can be added, they will be receive the member discount to all events and be included on CREA-IN newsletters. Please note: The company & main contact are considered the member, additional contacts just receive benefits.
Additional Company Contact #1
First
Last
Additional Company Contact #2
First
Last
Additional Company Contact #3
First
Last
Partner Additional Information How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
Student Application Information Do you currently hold a real estate license?* Have you held a real estate license previously?* State your broker's license issued in:*
Address*
Date of Birth*
Student Educational Background What career path do you plan to pursue after graduation?*
Additional Information for Student Application Permanent Address*
How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
Support Professional Information Date of Birth* Company Address*
Mailing Address (if different from company address):* Formal member communications will be sent to the address listed here.
Do you prefer to be contacted at your office or cell phone number?*
Commercial Professional Information Do you currently hold a real estate license?* If you are a licensed broker, please scroll up and select "Licensed broker" from the top.
Date of Birth* Company Address*
Mailing Address (if different from business address): Formal member communications will be sent to the address listed here.
Do you prefer to be contacted at your office or cell phone number?*
Additional Information for Commercial Professional CREA-IN Application I'm interested to learn more about: How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
Additional Information for Support Professional CREA-IN Application Do you hold a real estate broker's license?* Does your office use ICREX?* If you don't already have an ICREX listing admin account, would you like one created for you?* Staff will reach out to confirm details before creating your account.
I'm interested to learn more about: How did you hear about ICBR/CREA?* Does CREA-Indiana have permission to share your contact information in the membership directory?*
Real Estate Services Directory Does CREA-Indiana have permission to list your company in the online real estate services directory?* General Tenant Services Transactions/Closings Property Management Development/Redevelopment Description for Real Estate Services Directory*
Application Agreement 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 further agree that, if accepted for membership in the Alliance, I shall pay the fees and dues as from time to time established. NOTE: Payments to CREA-Indiana are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. Dues are not refundable or transferable. By signing below I consent that CREA-Indiana and their subsidiaries, if any (e.g., CIE, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Alliance in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. Also, applicant consents that the Alliance may invite and receive information and comment about applicant from any Member or other persons, and that applicant agrees that any information and comment furnished to the Alliance by any person in response to the invitation shall be conclusively deemed to be privileged and not form the basis of any action for slander, libel, or defamation of character.* 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 further agree that, if accepted for membership in the Alliance, I shall pay the fees and dues as from time to time established. NOTE: Payments to CREA-Indiana are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. Dues are not refundable or transferable. By signing below I consent that CREA-Indiana and their subsidiaries, if any (e.g., CIE, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Alliance in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. Also, applicant consents that the Alliance may invite and receive information and comment about applicant from any Member or other persons, and that applicant agrees that any information and comment furnished to the Alliance by any person in response to the invitation shall be conclusively deemed to be privileged and not form the basis of any action for slander, libel, or defamation of character.
I confirm*
