Membership Application 
Return completed form with payment to: 
NFBA – 7250 Poe Ave., STE 410 – Dayton, OH 45414 or FAX 937.278.0317 – www.nfba.org 
*NOTE: If selecting a monthly membership, NFBA will save your payment information for recurring payment of dues.
Company Information
Employee Information
Company Name: _____________________________
Address: ___________________________________
City, State, Zip: ______________________________
Phone: _________________________
Email: _____________________________________
Contact 1 Name: ______________________________
Email: _______________________________________
Title: ________________________________________
Contact 2 Name: ______________________________
Email: _______________________________________
Title: ________________________________________
Membership Level (Check One)
Membership Information
Contractor Member – Annual Payments ($1,000)
Contractor Member – Monthly Payments ($100)
Associate Member – Annual Payments ($2,000)
Associate Member – Monthly Payments ($200)
Academic/Design/Code Professional Member ($200)
How you would you like to be listed in the directory: 
(Check One)            Builder
Associate
*Builder & Associate
Designer    
Academic
*To be listed as a Builder & Associate, you must select the
Associate membership
Total: _______________
Please List the Services your company offers:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Besides your home state, you can list additional 
states that you would like to appear in when 
searching our online directory ($100 per state):
_____________________________________________
_____________________________________________
Total: _______________
Payment
The undersigned hereby certifies that the above information is true 
and that, if accepted for membership by the National Frame 
Building Association, I/We will abide by the bylaws of the 
association and voluntarily agree to adhere to the Associations 
Standards of Professional Conduct.
Signature: ___________________________________
Date: ______________ Grand Total: ______________
Payment Method (Check One):
Check
    Visa  
Mastercard  
Amex  
Discover
*Name on card:________________________________
*Card Number: ________________________________
Expiration:__________ CSV:___________Zip:___________
2-23-2024 DR
41
FRAME BUILDER MAGAZINE

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