Executive Park Boulevard Winston Salem NC Phone Fax Our

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195 Executive Park Boulevard Winston-Salem, NC 27103 Phone (336) 768-5560 Fax (336) 768-7295 Our Policy 1. Please allow at least 2 business days notice. 2. Labels are available on Avery 5160 Labels or a list is available in Microsoft® Excel format. 3. Member cost is .05¢ per label or .05¢ per person on list. 4. Nonmember cost is $150 for mailing labels or list. 5. Email addresses are not available. 6. Only BICs may have orders billed, all others must be prepaid. Request for Mailing Labels Your Information Name: Phone Number (in case we have questions): ( Company Name: Address: City: State: Zip: ) - Method of Payment: Bill (Broker-In-Charge’s Signature) __________________________________________________ (Please Type in name if you are emailing) Check Attached VISA/MasterCard # Exp. Date / Card ID# RCA Members PMD Members Provisional Members (New REALTOR® Applicants) Affiliates Institute Affiliates Public Service Microsoft® Excel List (last 3 digits on the back of your card) Your Order- Please Check The Box: WSRAR Members MLS Participants and Subscribers Designated REALTORS® REALTORS® Secondary Designated REALTORS® Secondary REALTORS® Avery 5160 Labels Check the type of members your want: Check the format you would like: Address Option: Office Address Preferred Address Home Address (we do not have home addresses on all members) Sort Order: Zip Code Office Name Member Last Name How would you like to receive your order: Pick up at the Association Office Mailed to you Emailed to you (available only in Microsoft® Excel format) If you have questions or need a quote on the cost of the labels or email list, please call 336-768-5560. Please fax order form to 768-7295 or email the form to Tracy Roberts at troberts@wsrar.com by filling in the information fields, saving the document and then email it. (Word Only)

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