Columbia Society of Real Estate Appraisers Inc.
Membership Application or Advancment

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1. Choose Classification you are applying for

2. Personal Information/BusinessListing
*First Name   Middle Name/Initial   *Last Name
   
* HomeAddress
* City   * State   * Zip Code
   
Business Affilliation
Business Address
Business City   State   Zip Code
   
* Business Phone#   Business Fax#
 
* Email
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3. Other professional appraiser organizations that you belong to   Member since   Designation if any
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4. Real Estate Appraiser License/Certification #   Licensing State   Expiration Date
   
5. Education - Highest Level Completed   Name and Location of School
 
Years Attended   Degree(s) Obtained
 
6. Business or Professional References   Phone# and/or Email Address
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* I hereby certify that the statements contained herein are correct. If approved for membership, I agree to abide by the Bylaws of the Society, its Code of Ethics, and the Uniform Standards of Professional Appraisal Practice. I will provide additional documentation as requested for the review of my application. I understand that I have the right to cancel my membership at any time by notifying the Society in writing. I understand that membership fees, including application fees, are non-refundable.

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Columbia Society of Real EstateAppraisers Inc.
PO Box 5613, Greensboro NC 27435
Phone:(631) 732-6200 / Fax: (631) 981-6200