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Reinstate membership to TREND
Personal Information
First name Middle initial Last name
Contact phone number Cell phone
Email address NRDS ID #
If you know your subscriber ID, please enter
Office Information
Name of company
Office address
Office City Office State Office Zip Office County
Office Information
Primary REALTOR® Association/Board
License # State Dare Expires
License Type (select one): Broker of Record Salesperson Associate Broker Unlicensed A copy of your Real Estate Agent License is required, please include.
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