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Brokerage/Branch Member Application
Commercial Brokers Association
For Dept. of Licensing recognized Real Estate Firms and Branches. Branches must have the same UBI number as Firm. You must also complete the Broker Roster update Form for all participating individuals, including the Designated Broker/Manager listed below.
Office Information
Firm Name
Office Email
Designated Broker Information
Broker's Name:
WA UBI Number:
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:
Email Address:
Web URL:
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*Branch Office Information
Does the Firm currently have CBA Membership?:
Yes
No
Branch CBA Office ID:
Branch Office Name:
WA UBI Number:
Branch Manager Name:
Branch Manager Email:
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:
Billing Contact:
Email Address:
Select one:
Applicant is a
Corporation
LLC
Partnership
Sole Proprietor
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Attachments >>
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 COMMERCIAL BROKERS ASSOCIATION, as now in effect and as hereafter amended or changed, and agrees to fully inform participating brokers thereof. Broker is also aware that sharing CBA services with non-participating brokers will result in a minimum fine of $300-$500 for each infraction.
Applicant agrees to abide by the Articles of Incorporation, Bylaws, Rules and Regulations of COMMERCIAL BROKERS ASSOCIATION, as now in effect, and as hereafter amended or changed.
Applicant's Name:
Select one: Sign application by
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Sign Screen
Upload Signature Image in tiff, bmp, jpg, png or gif format:
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Upload copy of Broker's License:
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*Branches may qualify for the CBA Branch office fee structure. Membership dues are billed directly to the CBA Member Firm. Must have authorization from the Designated Broker of the Firm.
I authorize that this branch office qualifies for CBA Branch Office pricing. I understand that the Firm listed above is responsible for all fees incurred by this branch office and will be be billed monthly for services. I have read and understand the CBA Membership Dues/Fee Schedule. Please initial:
Membership Fee:
$350 CBA Membership Set-up Fee OR $85 CBA Branch Office Set-up Fee if adding a branch office to an existing CBA Membership. The set-up fee does not include the first month’s dues and will be billed accordingly. See fee schedule for monthly dues amount.
Credit Card Number (Visa MC Amex):
Expiration Date:
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