At-Large Agent and Broker Application

Suncoast Tampa Association of REALTORS® At-Large Application

MLS Only Application
Eligibility for At-Large application requires you to have a primary or secondary membership with another REALTOR® Association in the state of Florida.
Personal Information
First Name
Last Name
Middle Name
Nickname
License #
Last Four of Your SSN
Pick a Security Question to Answer
This will be the question used for your member portal when you log in with STAR®
Security Question Answer
Age Range
Birthday

MonthDayYear
Date
Country/Origin
Primary Field of Business
Is Real Estate your primary source of Income?
Contact Information
Email
example@example.com
Mobile Phone Number
Format: (000) 000-0000.
Home Phone Number
Format: (000) 000-0000.
Preferred Phone Number
Website
Home Adress
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address
Mailing Address the same as Home Address?
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Membership Agreement

Please read and scroll to the bottom of the Membership Agreement and Dues Disclaimer before checking the box.
Should be Empty:

Suncoast Tampa Association of REALTORS® At-Large Application