Membership Application

YES, I want to join REIA – Chicago! Please select one of the following three payment methods.

1. Print out and complete a copy of the following application and mail to us along with your check made payable to REIA, or email to info@reia.org or fax to 847-730-3691.

REIA
P.O. Box 8033
Wilmette, IL 60091

2. Print out and complete a copy of the following application and fax to us along with your credit card information to 847/730-3691.

* First Name:  
* Last Name:  
Title:
Firm:
* Address:  
* City:  
* State:
(Please choose one!)
 
* Zip:  
* Phone:  
Fax:
Email:
Website:
* Membership Type:
(Please choose one!)

 
Year Born:
Please list all names of individuals
to be included in the Company Group**
Credit Card: Visa  MasterCard AMEX
Credit Card Number:
V# (3-4 digits):
Name On Credit Card:
Credit Card Expiration Date:
* Business Category (pick 3): Accountant/CPA
Appraiser
Attorney-Real Estate
Attorney-Real Estate Tax
Auctioneer
Builder-For Sale Housing
Broker-Commercial Investment
Broker-Leasing
Broker-Sale
Business Opportunities
Consulting
Corporate Real Estate
Developer
Environmental
Lender-Direct
Lender-Mortgage Broker
Management-Asset
Management-Property
Public Relations
REIT
Securities Specialist-Real Estate
Syndication-Private
Syndication-Public
Title Insurance
Vendor-Misc.
Vendor-Property Maintenance
* Property Types: All Property Types
Hotel
Industrial
Land
Mobile Home Parks
Office
Residential - Multifamily Rental
Residential - Multifamily Affordable Housing
Residential - For Sale Housing
Retail
Sale - Leaseback
Senior Housing
  Fields with an (*) must be filled in.
 

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