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Broker Roster Update
Commercial Brokers Association
The Broker Roster Update form must be completed for all participating individuals, including the Designated Broker/Manager listed below.
Office Name:
CBA Office ID:
Office Address:
City:
State:
Washington
Oregon
Idaho
California
Alaska
Arizona
Montana
Alabama
Alberta
American Samoa
Arkansas
British Columbia
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Islands
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Other
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip Code:
Phone Number:
Fax Number:
Next>>
Section 1 (select one)
New User
Reactivate or Transfer User
Transfer Office
Remove User listed in section 3
Yes
No
User ID #
Previous Office Name:
Office ID #
Section 2 (select one)
Designated/Managing Broker with system access
Designated/Managing Broker NO access (not charged dues)
Licensed Broker
Assistant
Assistant + access to full office inventory
Billing Contact
Other
Other:
Section 3
Update my CBA Profile Info.
Yes
No
User ID #
Last Name:
First Name:
MI:
RE License #:
Expiration Date:
Direct Phone:
Email Address:
Please note that if you wish to cancel your CBA membership within six months of the date you complete this application, you will not be eligible to receive a prorated or full refund of your membership fee or dues.
User's Mailing Address:
City:
State:
Washington
Oregon
Idaho
California
Alaska
Arizona
Montana
Alabama
Alberta
American Samoa
Arkansas
British Columbia
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Islands
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Other
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip:
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Signatures >>
The user identified above by name (“User”), and the member office with whom User is associated (“Member”) and Commercial Brokers Association (“CBA”) hereby agree as follows:
1. Applicant warrants that he/she is a licensed Real Estate Broker and has read and agreed to be bound by the Articles of Incorporation, Bylaws, Rules and Regulations of CBA, as now in affect, and as hereafter amended or changed.
2. Agreement Not To Disclose. Member and User acknowledge registration of password, in association with their User ID number for use by User in connection with accessing the CBA System, owned and operated by CBA. User agrees not to disclose password to any third party whomever (including but not limited to another member, a person associated with another member or any other person associated with the Member’s office) and acknowledges that any disclosure will jeopardize the security of the entire system and cause irreparable injury to CBA, its members and all other users.
3. Penalties. In the event of any disclosure and/or use of the password by anyone other than User, an automatic fine of $360 may be assessed by CBA against Member. In addition, disciplinary action may be taken against Member which may result in an additional fine and in User’s being deprived of use of a password for the CBA System for a specified period of time. Member agrees to pay any such fines and User agrees to deprivation of use of a password for a specified period of time due to breach of this Agreement by User. User agrees to reimburse Member for any fines assessed against Member for breach of this Agreement by User. Any automatic fine which may be assessed against Member may be waived only by action of the Board of Directors of CBA. The prevailing party in any suit arising out of this Agreement shall be entitled to reasonable attorney’s fees.
All monthly user fees are billed to the Member firm, not individual users. Refer to Dues/Fee schedule for billing explanation.
Designated Broker's Name:
Phone Number:
Two signatures are required to submit the Broker Roster Update form. First select User and upload or sign screen. Then, select Designated Broker and upload or sign screen.
User or Designated Broker Signature
User
Designated Broker
User Signature select one: Sign application by
Upload Image
Sign Screen
Upload User Signature Image in tiff, bmp, jpg, png or gif format:
Browse
Upload Broker Signature Image in tiff, bmp, jpg, png or gif format:
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Upload copy of Broker's License:
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