Mid-South Real Estate Investors Assoc. New Membership Application * indicates a Required Field

Date: 07/06/2008 First Name: * Last Name: * Spouse First Name: (only required if purchasing secondary membership) Spouse Last Name: (only required if purchasing secondary membership) Spouse Email: (only required if purchasing secondary membership) Address: * City: * County: * State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip: * Phone: * Cell: * Fax: Email: * Membership Type: New How did you hear about us? Friend   Internet   Newspaper   Other

Disclaimer and Release – Read Carefully Before Submitting This Online Application Mid-South Real Estate Investors Association, Inc. hereafter called the “Association”, does not render legal, tax, economic or investment advice. The Association does not investigate its members, nor vouch for nor make representation as to the honesty, integrity, reliability, motives and/or resources of its members, officers, directors, employees, agents, and or contractors. A person should consult his or her own, counsel, accountant, and other advisors as to risks and legal, tax, economic, investment and other matters concerning real estate and other investments. The undersigned Applicant, in consideration for his/her acceptance as a member of the Association, hereby releases, discharges and agrees to indemnify the Association, its officers, directors, members, employees, agents, and/or contractors from any liabilities now accrued, or which may hereafter accrue, from their actions, inactions, or communications made by the Association and/or officers, directors, members, employees, agents, and/or contractors in or through their respective capacities with the Association. Members agree to comply with the Code of Ethics and the By-Laws of the Association. Member appoints Mid-South REIA, the Non-Exclusive Attorney-in-fact to enforce ethics code violations. *By including my email & fax, I accept receipt of Association updates and Marketing. By submitting this application, the undersigned hereby acknowledges and agrees that he/she has carefully read and fully understands the above “Disclaimer and Release”. I Agree Click on the "Proceed" button below to submit your application & proceed with your payment.