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.

All membership enquiries to [email protected]

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