b'National Frame Building Association Membership ApplicationThis application must be completed in its entirety, or your membership cannot be processed.Company Name _________________________________________________ Additional Company ContactsCompany Address________________________________________________ Company Owners Name _____________________________________ City, State, Zip Code ______________________________________________ E-mail __________________________________________________Phone__________________________Fax ___________________________Marketing Contact Name ____________________________________Company E-mail (example: info@) ____________________________________ E-mail __________________________________________________Primary Contact (will also be billing contact)____________________________ Technical Contact Name _____________________________________Title _________________________________________________________ E-mail __________________________________________________E-mail ________________________________________________________Referred by_________________Company _______________________ B. Unified Chapter Dues (Mandatory)E-mail ____________________________________________________ Companies located in unified chapter states must pay an additional $25 A. Membership Level for chapter membership. These companies will hold membership in both their local chapter and the national organization. If you are located in a Builder Membership unified chapter state, please select your local chapter:Select category according to your annual gross business volume (in millions). Atlantic Northeast (CT, MA, ME, NH, NJ, NY, PA, RI, VT)o $25o 01$475 o 1+ to 3$700 o 3+ to 6$1,280 Mid Atlantic (DE, MD, NC, SC, VA, WV) o $25o 6+ to 10$2,000 o 10+$3,300Please indicate below what type of structures you erect or work on:Heartland (AR, KS, LA, MO, OK, TX)o $25o Agricultural BuildingsoCommercial BuildingsoResidential Buildings Section B Total $____________oIndustrial BuildingsoHorse Barns/FacilitiesoSuburban GaragesoInstitutions(churches, schools, public buildings)Other ______________________ C. Statewide Listing (Optional)National Supplier Partner Membershipo $1,625 Please indicate on the line below the additional statewide listings you ($1,125 Membership Dues, $500 PFMI Assessment) would like to purchase. (Cost for each additional listing is $100.)Regional Supplier Partner Membershipo AD Section C Total $____________$1,325 ____________________________________________________($825 Membership Dues, $500 PFMI Assessment)Building Material Dealer Partner Membershipo $570 ____ additional listing(s) at $100 each$350 Membership Dues, $220 PFMI Assessment)Please indicate below which products or services you provide or work on:o Building Accessorieso Foundation o SkylightsD. Gold Club Contribution (Optional)o Building Posts and Productso SoftwareNFBA Gold Club Members support the industry by making post-frame Columnso Framing o Storm Managementresearch and engineering possible. Membership is voluntary and is open o Business Resourceso ProductsProductsyear round. Members are recognized at the annual trade show and on o Chemicalso Hardwareo Structural Componentsthe NFBA website.o Coatingso HVACo Tools50% of annual dues (not to exceed $500)$_________o DIY Building Packages o Insulationo TrussesSection D Total $____________o Doorso Lumbero Walls o Engineered Componentso Machineryo WindowsTotal of sections A, B, C, and D$____________o Equineo Roofingo Other The undersigned hereby certifies that the above information is true and that, o Fastenerso Sidingif accepted for membership by the National Frame Building Association, Branch/Dealer Membership(Dealer 1st Year Only)o $100 I/we will abide by the bylaws of the association and voluntarily agree to __________________________________________________________ adhere to the associations Standards of Professional Conduct.Above, write the name and location of the parent NFBA member companys head office.Signature_____________________________________________ Design/Code Professional Membershipo $120 Date ________________________________________________Please indicate below which services you offer:o Academico Engineeringo Architectureo Design ConsultingPayment Information (select one):o Structural AnalysisOther: _______________________________ o Check enclosed oVisaoMasterCardoAMEX oDiscoverPlease indicate the types of structures you can work on: Name on card (please print)________________________________o Agricultural Buildings o Commercial Buildingso Residential Buildingso Industrial Buildingso Horse Barns/Facilitieso Suburban GaragesAccount Number_______________________________________ o Institutions (churches, schools, public buildings) Expiration Date________________________________________ Academic Membership o $100Associate Membership o $325 Billing Zip Code ________________________________________ Section A Total $____________ Signature _____________________________________________Return completed form with payment to NFBA7250 Poe Ave Suite 410Dayton, OH 45414 or Fax 937.278.0317www.nfba.org'