FIABCI Individual Membership Application Form

The first step to your International Real Estate network!
Items marked with an asterik "*" are required

Name*           
Designation   
Firm               
Address*        
E-Mail*           
Web Adr.       
City*                             State*
Country*                                          ZIP*
Work Phone*     Extension    Fax #
Please Indicate to which of the following Principal Members you currently belong:
Appraisal Institute AFIRE    CCIM    HBI    IREM   
IRWA    SIOR   
Other professional real estate associations you belong :
Please indicate to which of the following Company Members you are currently affiliated:
Chicago Association of Realtors
Coldwell Banker NRT Southeast
Ebby Halliday Realtors
Houston Association of Realtors
Institute for Luxury Home Marketing
Leading Real Estate Companies of the World
The Jason Corporation
Membership Category*

Note: Regular members are individuals actively involved in the real estate industry and Special members are those who service the real estate industry. Regular members who are members of Principal Members listed above or members of professional real estate associations approved by FIABCI-USA are not required to have a member sponsor. A current FIABCI member sponsor is required for all Special Members.
Regular ($595(US) annual dues + $250(US) application fee = $845(US))
Special ($645(US) annual dues + $250(US) application fee = $895(US))
Patron ($1000, including annual dues)
Member Sponsor
Languages Spoken
English    French    German    Japanese    Spanish Other
Charge $* to your VISA MasterCard American Express

Credit Card #*     Expiration Date*

Security Code* Security code is 3 digits for VISA/MC found on the back of the card’s signature panel; 4 for AMEX on front of card above the card number

Credit Card Billing Address*   CC Zip Code*
Same as Mailing Address Above

Name as it appears on card*

AREAS OF SPECIALIZATION

Please List in Order the areas of specialization you want listed. Choose from the Speciality Codes column and up to 6 from the Property Types columns.

Speciality Codes: Choose up to 6 (or All in first select box)

Specialty Code #1
Specialty Code #2
Specialty Code #3
Specialty Code #4
Specialty Code #5
Specialty Code #6

Property Types: Choose up to 6

Property Type #1
Property Type #2
Property Type #3
Property Type #4
Property Type #5
Property Type #6

COUNTRY SPECIALIZATION

If you want your country specialization to be listed in the FIABCI World Directory and our Web Site, check up to six of the countries below:

Order of Importance

First:     
Second: 
Third:     
Fourth:   
Fifth:      
Sixth:     
Enter any comments or questions below...
Membership Policy: We will begin serving you upon receipt of your completed application and will continue to serve unless you advise us in writing that you wish to cancel your membership. Membership is for the calendar year. Individual member dues are pro-rated in the 2nd year of membership. Join by December 31 to be listed in the following year's World Directory. Effective Date: 02/01/10.

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