Check One: * Date *
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Real Estate License #/Appraiser License # * Association/Board of REALTORS where your REALTOR® Membership is held: *
If you have not joined an Association/Board of REALTORS yet or you are unsure of where your REALTOR MEMBERSHIP is held, enter unknown or other. Before membership can be processed the Wyoming MLS will verify this information.
Company * Company Address:
* Company Phone * Home Address
* Cell Phone * Home Phone * Email *
Website address * Preferred Phone * Preferred Address * MLS Security Levels *
MLS Security Levels
Each user is assigned a specific security level in Paragon (the mls system). The security level allows users
access to specific functions and reports within Paragon. By default, each Designated Broker is given a Level
5, all others users are given a Level 3. The Designated Broker must give permission for any level higher than
3. Check the appropriate security level
Subscriber Signature *
I agree to abide by the Wyoming Multiple Listing Service Rules and Regulations as they exist and as they may from time-to-time be amended.
One-time membership application fee *
Lockbox System Membership
THIS IS AN OPTIONAL SERVICE. If you choose to subscribe to the Lockbox system complete & submit the form “Lockbox Access Lease Agreement” which is a separate document and is included on the Become a Member page under Lockbox System Membership
Before submitting this form, please read the Membership Requirements & Procedures. Consent * I agree to the Membership Requirements & Procedures Applicant type * Participant (responsible broker) name *
I, Applicant, agree to the following:
Initial Set up Fee: The Wyoming Multiple Listing Service hereby acknowledges receipt of said fee from applicant, which represents an Initial Set up Fee deposit to be held by Wyoming MLS. In the event of violation of any provision of this agreement, the Initial Set up Fee deposit shall be forfeited to Wyoming MLS. A portion of the Initial Set up Fee deposit shall be refunded upon return of the access prior to breach of this agreement. If applicant is active and transferring from one office to another there is no fee required.
Lockbox Access Receipt: Applicant hereby acknowledges receipt of access credentials and it’s PIN from Wyoming MLS. (PIN – confidential code used to access lockbox functions)
Termination of Access: Applicant and Participant (Responsible Broker) agree to notify the Wyoming MLS of a termination request within 5 days of any of the following events:
a. Suspension or termination as an active member in good standing as a REALTOR member
b. Termination of Applicant’s association with Participant (Responsible Broker) for any reason
Security of Access:
a) To keep the Lockbox Access in Applicant’s possession or a safe place at all time * b) To not share PIN number with anyone * c) To not loan the access to any person, for any purpose whatsoever * d) To not duplicate the access or allow any other person to do so * e) To not assign, transfer, or pledge this lease or the access * f) To immediately notify the Wyoming MLS in writing of the loss ortheft of access and circumstances surrounding such loss or theft. Loss or theft of the access will result in forfeiture of the Initial Set Up Fee deposit * g) To follow additional security procedures as specified by the Wyoming MLS *
Inspection/Access Audit: Wyoming MLS shall have the right to inspect the access leased to Applicant at all reasonable times and places. Applicant agrees to submit the access for inspection at Wyoming MLS’s office not less than 48 hours after the receipt of notice. In addition, Applicant agrees to submit the access for inspection upon written or verbal request if Wyoming MLS believes that the integrity and security of the system is in jeopardy. A failure to comply with the terms of this paragraph shall constitute an event of default under this lease.
Indemnification: Applicant and Participant (Responsible Broker) covenants and agrees to indemnify and hold Wyoming MLS harmless from any and all liability, obligations, or demands against Wyoming MLS as a result of Applicant’s loss of use of the access including, but not limited to, any and all liabilities, including attorney’s fees, incurred by Wyoming MLS as a result of damage or injury to premised or persons arising out of the use by Applicant or by any other person of the access.
Participant’s (Responsible Broker’s) Responsibility: Participant (Responsible Broker) confirms that he/she is a Wyoming licensed real estate broker or certified appraiser and an active member of the organization named herein. Further Participant (Responsible Broker) agrees that he/she is jointly and severally liable for all duties, responsibilities, and undertakings of Applicant under this agreement, provided, however that this agreement shall not be construed to make Applicant an employee of Participant (Responsible Broker).
Authorization of Use on listed property: Applicant will secure authorization from the owner or tenant in possession of any property listed for sale prior to the installation and use of the lockbox access system on such property. Extreme care should be taken to ensure that all doors and the lockbox are locked.
Forfeiture: Failure to abide by all provisions of this lease shall result in forfeiture. Forfeiture of the Initial Set Up Fee shall be in addition to and not in lieu of any other remedy available to Wyoming MLS.
Applicant signature * Casper Board of REALTORS Member
Other REALTOR Member
Credit Card *
Wyoming MLS uses Stripe, a 3rd party service, to process credit card transactions. Stripe has been audited by a PCI-certified auditor and is certified to PCI Service Provider Level 1. This is the most stringent level of certification available in the payments industry. Stripe uses best-in-class security tools and practices to maintain a high level of security. All credit card numbers are encrypted at rest with AES-256.
This field is for validation purposes and should be left unchanged.