Application for Affiliate Membership

*If you are a colleague in the same office location as the primary Affiliate member, you must complete the Associate Affiliate application instead of this application.

Fill in the form below

This field is for validation purposes and should be left unchanged.
Name(Required)
MM slash DD slash YYYY
Company Address
Residence Address
Preferred Mailing
Preferred Phone
Billing Notification
I am interested in
By initialing below, I consent to be contacted by NAR, CTR, ECAR, and their agents via text messages, SMS messages, and calls to cell phones including the use of pre-recorded electronic message calls, as well as calls made via automatic telephone dialing systems or via email. I further agree to update the association with any changes to my contact information and to permit the association to update contact information with information provided by any multiple listing service as part and continuation of this consent. I understand that I can revoke this consent at any time by replying STOP to cancel. Message/Data Rates May Apply.
Clear Signature
MM slash DD slash YYYY

EASTERN CONNECTICUT ASSOCIATION OF REALTORS, INC.
2025 Affiliate Membership Dues Authorization & Schedule
Effective 1/1/2025