AAREA Membership Application Rev 3 2011 Ben Huynh

Page 1

ASIAN AMERICAN REAL ESTATE ASSOCIATION. Mailing Address: P. O. BOX 1762, ALIEF, TX 77411. 6600 SANDS POINT, SUITE 210 HOUSTON, TX 77074. Tel: 281-788-7870 (Lisa Tam), 281-799-4939(Janet Chan), 281-561-5386(Ben Huynh) E-Mail: janetC2000@yahoo.com or Ben.Huynh@yahoo.com. eFax: 832-217-2999 (Ben Huynh)

(

) New Member

(

) Renewal

(

) Information update

Name (PRINT): ___________________________________ Languages spoken: __________________________ Company Name: _________________________________________________Title:________________________ Business Address: _____________________________________________________________________________ Phone: _________________________Fax: ___________________________Cell:__________________________ E-Mail Address: ______________________________________________________________________________ Real Estate Specialty(s): (

) Residential

(

) Appraisal

( (

) Commercial ) Lending

Current Member of: (

(

(

) Leasing

) Inspection

( (

) Management

(

) Development

) Other_______________________________

) HAR or Others (Please print):___________________________________________

Signature: ______________________________Print: ____________________________ Date: ______________ Please make checks payable to: Asian American Real Estate Association (AAREA)

**Information included in this application will be used for the membership directory. ( ) Please indicate that you do not want to disclose the information on www.aarea.us Please do not write below the line; for AAREA use only _______ Regular Membership: $60. per year (MUST BE AN ACTIVE LICENSED TEXAS REAL ESTATE BROKER OR SALESPERSON). _______ Affiliate Membership: $120.00 per year. _______ Luncheon Sponsorship $1,000.00 Membership good through: ____________________, 20______. Fee Paid: ______________ Fee Prorated: ______________Check #: _______________Cash: ______________ Received by __________________________________________ Date: __________________________________ Credit Card (Visa/Master/American Express/Discover) #__________________________________________ Billing Address_______________________________________________________________________________ Expiration Date_____/______

Security Code __________

Rev 3-2011 benhuynh



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