REALTOR® Association of Prince William

2016 Award Application – Individual & Team

  • Applications MUST be TYPED.
  • Attach the MRIS Agent Report for verification of your 2016Volume. New Home sales must be entered into MRIS, only if it is required to achieve an award level. THIS IS THE ONLY ACCEPTABLE DOCUMENTATION.
  • Your application MUST be SIGNED by YOU and your BROKER.
  • Both pages of this application MUST be submitted.
  • There is no Application Fee.
  • Complete applications are due byJanuary 30, 2017. Applications can be submitted after this date at a fee of $150 for a historical update only.
  • Please submit a headshot with application to be included in recognition at the Annual REALTOR® Awards Gala.
  • An electronic certificatewill be emailed ONLY to those that request it. A printed copy may mailed for an additional fee.

Name(s)______

(If a Team, please include the names of ALL Team Members)

Current Firm______Phone #______

Affiliated with from______to ______

Application: Individual or Team (Please choose only one (1) from I. or II.)

  1. I would like to apply in the Individual Category for (check one)$ TOTAL VOLUME

Million Dollar Club$1,750,000 - $4,499,999 in VOLUME

Top Producer$4,500,000+ in VOLUME

OR

  1. We would like to apply in the Team Category for (check one)$ TOTAL VOLUME

Million Dollar Club$2,750,000 - $7,299,999 in VOLUME

Top Producer$7,300,000+ in VOLUME

  1. I am also eligible to be recognized for the following Life Member Award Recognition.

**Please do not check if you have been previously awarded.**

REALTOR® Association of Prince William / 2016 Volume Award Application
Teams & Individuals
4545 Daisy Reid Avenue, Ste. 150, Woodbridge, VA 22192 / P: 703-565-0033 ~ F: 703-565-0039

Lifetime Million Dollar (10 years)

Lifetime Top Producer (5 years)

Twenty Year Million Dollar Club

Twenty-Five Year Million Dollar Club

Thirty Year Million Dollar Club

REALTOR® Association of Prince William / 2016 Volume Award Application
Teams & Individuals
4545 Daisy Reid Avenue, Ste. 150, Woodbridge, VA 22192 / P: 703-565-0033 ~ F: 703-565-0039

If affiliated with another Firm(s) in 2016, please indicate below. ALL BROKERS affiliated with in 2016MUST sign-off on Volume Sold.

Firm’s Name, Broker, Phone # and Date of affiliation.

Broker Signature______

Broker Signature______

This is to certify that the above named applicant was associated with this firm during the periodJanuary 1, 2016 to December 31, 2016and was a member in good standing at PWAR; that the amount set forthabove represents transactions that settled during the period of January 1, 2016 and December 31, 2016; and that the transactions were the transactions of the above named applicant(s).

Certifying Broker Name Phone #

Certifying Broker Signature______Date ______

Applicants Signature______Date ______

REALTOR®Association of Prince William

2016 Award Application – Plaque Order & Payment Form

Plaque Request

  • Plaques may be ordered for your Million Dollar or Top Producer Award.
  • Million Dollar Club Plaques = $55 each
  • Top Producer Plaques = $95 each
  • Teams can purchase one (1) Plaque for the entire team, plaques for every team member or just plaques for part of the team. Indicate below what each plaque should read and then indicate in the payment information the correct number of plaques being ordered.

Name(s) as it should appear on the plaque Name(s) as it should appear on the Certificate

______

______

______

(If you are ordering more than one plaque please indicate what each plaque should read,

ex. John Q. Realtor, Realtor Plus Team or The Realtor Plus Team or John Q. Realtor)

Plaqueswill be available for pick-up at PWAR only. Certificates will be emailed only. A printed copy may be mailed for an additional fee.

Application Payment Form

Submit this application with payment information by mail, by fax at (703) 565-0039 or by email to .

Item / Cost / Quantity / Sub-Total
Application Fee / $0
Optional Fees
Million Dollar Plaque(Individual/Team) / $55
Top Producer Plaque(Individual/Team) / $95
Printed Certificate (please include mailing address below) / $5
Total

We accept the following payment options.

(You may pay with cash only if you apply in person at the PWAR Realtor Store).

AMEX Discover MasterCardVisaCheck # made payable to PWAR.

Credit Card # Expiration Date

Signature______

Mailing Address (printed certificates only):

______

REALTOR® Association of Prince William / 2016 Volume Award Application
Teams & Individuals
4545 Daisy Reid Avenue, Ste. 150, Woodbridge, VA 22192 / P: 703-565-0033 ~ F: 703-565-0039