Application for Registered Business Entity

Business membership is for the legal entity that holds a real estate licence for a company, partnership or sole trader. Key individuals of the entity must be individual members of REISA Ltd.

Please review the checklist to understand what you will need on hand to complete your application.

Business Entity Fee: $1325 inc GST per year

Key Individual Fee: $200 inc GST per year

Type of Legal Entity

Company Pty Ltd

Partnership

Sole Trader

Company Details

NAME OF COMPANY (ENTITY) *

Trading Name *

ABN *

Company RLA *

ACN

Company Address *

Company Suburb *

Company State *

Company Country *

Country

Company Post Code *

Postal Address:

If your Postal Address is different to the above please include:

Company Phone *

Company Web Address

Office Email *

Finance Email

Number of Staff

PI Insurance Expiry Date *

* Number of Key Individuals ($200 per Key Individual)

Qualifications

Director 1

First Name

Surname

Email 1 *

Phone Number 1 *

Director 2

First Name 2

Surname 2

Email 2

Phone Number 2

Director 3

First Name 3

Surname 3

Email 3

Phone Number 3

Director 4

First Name 4

Surname 4

Email 4

Phone Number 4

Director 5

First Name 5

Surname 5

Email 5

Phone Number 5

Director 6

First Name 6

Surname 6

Email 6

Phone Number 6

Director 7

First Name 7

Surname 7

Email 7

Phone Number 7

Director 8

First Name 8

Surname 8

Email 8

Phone Number 8

Director 9

First Name 9

Surname 9

Email 9

Phone Number 9

Director 10

First Name 10

Surname 10

Email 10

Phone Number 10

Company Logo - 170 pixels wide

Company Logo

PDF, JPEG or JPG

Biography for REISA Website

Do you have a current subscription for REISA Master Forms? *

YES

I understand that REISA membership is required for REISA Master Forms usage. *

YES

I certify that the information contained in this form is true and correct. I agree to abide by the Real Estate Institute of South Australia Limited (REISA) Constitution. Click here to view.

I agree to the Terms and Conditions stated above