Change of Information

Are you a REALTOR® or Affiliate Member? *

Members Name *

If this is a name change, enter new name here: *

If there is a change in company, enter new company name here: *

What is the new address: *

This is the new address of the brokerage that holds your license

What is the new phone number: *

What is your preferred method of communication? *

Cell, office, email, etc.

Are you changing your Board affiliation in some way? *

Leaving the board, changing membership type, etc.

If you are changing your Board affiliation, i.e. from primary to secondary, note that here. *

Has your home address changed? *

If no, please put no. If it has changed, please put your new home address.

Are you inactivating or terminating your Maryland real estate license? *

Does this change pertain to closing your office or change in name or location? *

What is your office name: *

Has your office name has changed? *

If your office location has changed, enter the new address and contact number here. *