Primary Association        __________________________________________________

First Name        _________________________    Middle Initial     ______________

E-Mail     ___________________________________________________________

Last Name    ____________________________Keyholder ID     _______________

NRDS #    ______________________________   (iff different than Keyholder number)

Status    _________________    Office Name or ID    ______________________

Address    ____________________________________________

City, State, Zip    ___________________________________________

Phone #     ______________________        Fax #    __________________________

Key Serial #     ___________________    PIN #    _______________________

I agree to abide by the Rules and Regulations of the Minneapolis Area Association of REALTORS®, and I understand that I assume sole responsibility for following the Electronic Key update procedures for each market where my key has been activated. I also understand that by signing this form that this does not provide for unilateral cooperation and compensation between real estate brokers. Cooperation and compensation can be attained by joining the MLS for that specific market, and/or by contacting individual brokers to make arrangements.

Signature

For Office Use Only