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FOR PROFESSIONALS


MEMBERSHIP APPLICATION FORM

COMPANY INFORMATION
Company Name:
Social Security or FEI #:
Designated Representative:
Title:
Address:
City:   State:   Zip:
Phone:
Fax:
Email Address:
Sponsor:
 
APPICANT/COMPANY PROFILE (for NARI use only; to be held in strict confidence)
1. What is your industry involvement?
Contractor   Wholesaler/supplier   Lender
Designer/Architect   Utility   Manufacturer
Subcontractor        
Other - Please Explain:

2. Please indicate your approximate percentage of dollar partnership volume in each of the following areas: (total should equal 100%)
% Residential repair/remodeling % Commercial/Industrial remodeling
% New construction % Other

3. Area of Specialization: (total should equal 100%)
% Roofing % Replacement windows
% Insulation % General remodeling
% Kitchen/bath % Electrical
% Siding % Heating/AC
% Other - Please Explain:

4. Annual Sales Volume:

5. Have you previously held NARI membership? Yes    No
    If yes, what years?

6. Date Company was Established:

7. Number of Full-time Employees:

8. Company Type:

9. Please list other trade associations in which you hold membership:


10: Names of Principals and Officers of your Company:
Name:   Title:
 
 
 

11. Your State or Contractor's License Number:

12. Liability Insurance Company:   Policy #:

13. Workers' Comp Company:   Policy #:
 
COMPANY REFERENCES
Bank Reference:
Company:
Address:
City:   State:   Zip:
Phone:
Account #:
 
Trade Reference:
Company:
Address:
City:   State:   Zip:
Phone:
Account #:

Customer Reference #1
Name:
Address:
City:   State:   Zip:
Phone:
 
Customer Reference #2
Name:
Address:
City:   State:   Zip:
Phone:
 
PAYMENT INFORMATION
Local Chapter Dues: $450.00 per year / Initiation Fee: $35.00

Payment Type: Check Mailed    Visa    Mastercard   American Express
Card Number:
Expiration Date: (mm/yy)
Card CVC Code: (3 or 4 digit code on back of card)
Name on Card:

Eligibility for NARI membership requires that applicants be actively engaged in the remodeling industry for at least one full year prior to application and must conduct their business in compliance with the NARI Code of Ethics. Applicants must also agree to comply with the NARI Bylaws.

Note: Membership dues are deductible as ordinary and necessary business expenses; however, pursuant to the Omnibus Reconciliation Act of 1993, NARI National estimates that $20.00 of dues is not deductible for federal income tax purposes. (Contributions to the National Remodeling Foundation are deductable as charitable contributions).

Application for membership authorizes NARI to conduct a credit and reference check subject to the Fair Credit Reporting Act and relevant public law. Applicant also understands information may be obtained from the local Better Business Bureau.

By submitting this form, you acknowledge that you have reviewed the information contained in this membership application and confirm that this information is correct to the best of your knowledge. By applying for membership in the National Association of the Remodeling Industry (NARI), you agree to comply with the bylaws and Code of Ethics of the Association.

Miami Valley NARI requires applicants to attend one (1) membership meeting prior to application processing or that the applicant be sponsored by a member in good standing.

Contact the Miami Valley NARI office for more information.


Miami Valley NARI, 136 S. Keowee St., Dayton, OH 45402
937.222-NARI, Fax 222.5794
info@naridayton.org

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