Please note: If you are a former LIBOR Realtor® or Affiliate Member, or have previously registered for a class or event, you will need to print the application and return it via email, fax or mail. If you need assistance, please call 631-661-4800 x364. Thank you.

NEW AFFILIATE INDIVIDUAL MEMBERSHIP APPLICATION

Corporate Affiliate Membership Plans are now available by calling Mike Miller at 631-661-4800 Ext. 384.

Affiliate Members are individuals and businesses who, while not engaged in the real estate profession as defined in the by-laws, have interests requiring information concerning the real estate industry.

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Agreement (required)

I hereby apply for Affiliate membership in the Long Island Board of Realtors®, Inc. (LIBOR). I understand that this is a single person membership, not a company membership, and that other employees of my company may join separately as Affiliate Members.

I agree to abide by the by-laws of LIBOR and to the terms and conditions herein. I understand that LIBOR reserves the right to change, limit or eliminate the Affiliate Membership Program or any of its benefits at any time. I also understand that LIBOR has the right to change the terms and conditions of membership, including dues amount, if any, at any time.

I agree that Affiliate Member benefits may only be used for my registered Affiliate Business. Affiliate Members cannot use any benefit offered through the Affiliate Membership Program to promote or perform any licensed real estate activity. All components of the Affiliate Membership Program are non-transferable within the company or to another individual.

I understand that my continued membership in the LIBOR Affiliate Membership Program is dependent on my timely payment of all dues as charged by LIBOR. I acknowledge that dues and fees are non-refundable and not prorated and that annual membership begins from the date that my Affiliate membership was initially approved.

I expressly authorize LIBOR and its subsidiaries or representatives to call, fax, or e-mail me, at the phone number, fax number and e-mail address above with respect to any goods or services offered or promoted by LIBOR. I understand that this consent also applies to changes in contact information that I may provide to LIBOR in the future. I also expressly authorize LIBOR to include my name, company name, company logo, address, phone number and e-mail address in all marketing communications, both online and offline.

I agree that non-compliance with the terms and conditions herein will result in the immediate termination of my Affiliate Membership, including all member benefits. I agree that should I cease to be an Affiliate Member I will discontinue use of the term Affiliate and discontinue use of the Affiliate Member logo in any manner whatsoever.

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 agree to abide by any applicable LIBOR rules. I understand that LIBOR may change the rules in its sole discretion and that I am obligated to abide by the rules as revised from time to time.

This is Part 1 of a 3 part application process. Please complete the next page for Part 2 and proceed to the following page for Part 3 to finish your application and payment. Your application will not be finalized until the payment page is completed. Thank you.

By checking “yes” below, I certify that I agree to the terms and conditions herein and agree to be bound by same.




Affiliate Members Recurring Dues Payment Option – (Required to select one option)


For your convenience, LIBOR offers an automatic renewal program for your affiliate membership(Auto Pay).

OPT- In. I authorize and request that annually LIBOR automatically renews my affiliate membership and charge my credit card, as provided, for my annual dues. I understand that my authorization will remain in effect until I notify LIBOR of my intent to cancel Auto Pay. I guarantee and warrant that I am the legal card holder for this credit card and that I am legally authorized to request and enter into Auto Pay for this purpose. I understand that LIBOR will not mail, or email me, any invoices or bills. However, you will receive a receipt of payment annually when your credit card is processed.

Cancellation. I understand that at any time I may initiate cancellation of my enrollment in Auto Pay by contacting LIBOR in writing via email at affiliates@lirealtor.com or by calling LIBOR Member Services at (631) 661-4800 ext.680. In case of such cancellation, I understand that it will be my responsibility to arrange for an alternative method of payment if I wish to keep my affiliate membership active.

Refunds. If I fail to cancel Auto Pay prior to the Auto Pay charge date, I understand that I have thirty (30) days from Auto Pay charge date to contact LIBOR and request a full refund. Requests for refunds after 30 days from the Auto Pay charge date will be in the sole discretion of LIBOR.

Updates. I agree to notify LIBOR of any changes in my account information, including a lost or stolen credit card, changes to the cred card number, and/or other details necessary to process payment. In the event of the expiration or invalidity of my credit card or any failure relating to payment by the issuer thereof, I agree to make payment of all amounts due and owing by other means.

Opt-Out. If you DO NOT wish to participate in the Auto Renewal (Auto Pay) option for your Affiliate Membership Dues Payment please check here.


PLEASE NOTE THAT PAYMENT IS DUE AT TIME OF APPLICATION. YOU MUST PROVIDE A CREDIT CARD TO PROCESS YOUR APPLICATION ONLINE. IF YOU PREFER TO PAY THE ANNUAL MEMBERSHIP FEE BY FAX OR BY CHECK, CLICK HERE TO DOWNLOAD AND PRINT A COPY OF THE APPLICATION. THANK YOU.