Become an Affiliate Member

Please complete the following information to submit your application for a BACREN membership account.

The information provided will appear in your BACREN membership profile. This information can then be viewed as BACREN member search results.

Please provide either your present employer’s company name or if you own your business then please provide the company name of your business.

(* Required Entry)

Fields marked with an * are required

Name of Applicant *

Date/Time *

Name of Firm *

Company Address *

City *

US State *

Company Phone Number *

Alt Phone Number

Fax Number

Website Address *

Email *

Home Address *

City *

US State *

Zip

Home Phone Number *

Areas of Real Estate Specialization *

Membership in Real Estate Specialization *

Business Development: A license type and number is required for membership class 1 or 1a applicants.

Real Estate License
Broker License
Salesman License

Please enter license numbers *

State or States Licensed In *

Years in Business *

Company *

If less than 3 years with same company, previous place of employment:

Please List Your Professional Designations *

Please List Other Real Estate Organizations in Which you Hold Your Membership

Other Affiliations

CCIM
HAR
CREAM
SEC
CREN
CREW

Other Affiliations: Please List Any Not in the Above Check List

References

Name *

Phone *

Name

Phone

Name

Phone

Who introduced you to BACREN? *

How Would You Help Us Make Our Organization Better? *

Security Questions

Security questions

Anti-Spam- Please answer 2+3=? *

Please complete the following information to submit your application for a BACREN membership account.

References

Security questions

Let’s Connect

Get in Touch

Monthly Luncheon Location

Please complete the following information to submit your application for a BACREN membership account.

References

Security questions

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Let’s Connect

Get in Touch

Monthly Luncheon Location