3428 Hillcrest Avenue Suite 200, Antioch, CA 94531

Email: Info@deltaaor.com

Office: 925.757.8283

Fax 925.757.8393

www.deltaaor.com

Administrative Clerical Assistant

Application

Make sure these items are included when you mail or fax your application:

Application Form completed and signed by Administrative Assistant and the MLS Participating Broker.
$150 Annual Subscriber fee

Fees can be charged to Mastercard, Visa & AMEX by completing the bottom of the form. There is a $25 service charge for any returned check or refused charge. If a check is returned or a charge refused, payment must be made by postal money order or certified check.

Reminder:

You have 60 days to complete the Mandatory MLS Training course "Intro to Paragon.
Visit your Member Portal and register for upcoming classes. Go to - Click "MemberPortal" located on the top right - Enter your Paragon credentials.
You must be affiliated with the same office as your Broker.

Service Center Locations

Antioch

Delta Association of REALTORS®
3428 Hillcrest Ave. Ste. 200
Antioch, CA 94531

P: 925 757-8283

F: 925 757-8393

Berkeley

Oakland/Berkeley Association of REALTORS®
2855 Telegraph Ave. Ste. 600
Berkeley, CA 94705

P: 510 848-4288

F: 510 848-2439

First Name:

Last:

Company Name:

Company Address:

City :

State:

Zip :

Company Phone:

Your Extension:

E-mail address :

and/or Web Page :

Please sign here, thereby giving bridgeMLS permission to send important communication regarding the MLS to your email address above. bridgeMLS will never sell or use this email address for any other purpose than to send important communication directly to you. Signature:

(Signature)

I would like any faxes sent to my:

Office

E-mail

No Refund: I understand that if this application is canceled or withdrawn I will not be entitled to a refund.
I acknowledge receipt of a copy of the Rules and Regulations of the bridgeMLS, and agree to abide by suchRules and Regulations as they exist and as they may from time-to-time be amended.

Signature: (Administrative Assistant)

Date:

I hereby certify that the above Appraiser/Appraiser is affiliated with me.

Broker Name (Print):

Signature: (MLS Participating Broker)

Date:

Amount Enclosed $:

Return completed and signed form to the Service Center selected by your Broker.
For Credit Card Payment Only

I authorize bridgeMLS to charge my credit card (below). I understand that:

1)Should my credit card company “decline” the request for payment, I will be assessed a $25 fee and be contacted to arrange for an alternate form of payment.

2)More than one decline will cause bridgeMLS to cancel this authorization.

Master Card

Visa

AMEX

Account #:

Exp Date:

Total $:

(Signature)

Service Center Use Only

Administrative Assistant Code:

Office Code:

Administrative Clerical Assistant

Application

Reminder:

Service Center Locations

Antioch

P: 925 757-8283

F: 925 757-8393

Berkeley

P: 510 848-4288

F: 510 848-2439

I would like any faxes sent to my:

I hereby certify that the above Appraiser/Appraiser is affiliated with me.

Return completed and signed form to the Service Center selected by your Broker.
For Credit Card Payment Only

Service Center Use Only

Menu

Quick Menu

Contact Info

Follow Us on Social Media

Administrative Clerical Assistant

Application

Reminder:

Service Center Locations

Antioch

P: 925 757-8283

F: 925 757-8393

Berkeley

P: 510 848-4288

F: 510 848-2439

I would like any faxes sent to my:

I hereby certify that the above Appraiser/Appraiser is affiliated with me.

Return completed and signed form to the Service Center selected by your Broker. For Credit Card Payment Only

Service Center Use Only

Menu

Quick Menu

Contact Info

Follow Us on Social Media

Return completed and signed form to the Service Center selected by your Broker.
For Credit Card Payment Only