North Dakota Manufactured Housing Association
PO Box 2681  Bismarck, North Dakota 58502
Phone # 701-223-6671

MEMBERSHIP APPLICATION

COMPANY NAME:______________________________________________________________
OTHER CONTACT NAME (if different):_______________________________________________________
OWNER OR MANAGER NAME:_____________________________________________________________
ADDRESS:_______________________________________________________________________________
CITY:_________________________________ STATE:________________ ZIP CODE:_________________
PHONE #:_____________________________   ____________________________
FAX #: _____________________________  _____________________________
EMAIL ADDRESS:_________________________________________________________
WEB SITE: _______________________________________________________________
CHECK CLASSIFICATION OF YOUR BUSINESS
_______  MANUFACTURED HOME DEALER / SALES CENTER -                 $165.00
_______  MANUFACTURED HOME DEALER / PARK OPERATOR -              $330.00
_______  PARK OPERATOR
                _______  0-50 SPACES                                                              $55.00
                _______  51-100 SPACES                                                          $110.00
                _______  101-200 SPACES                                                         $165.00
                _______  201 +  SPACES                                                           $275.00
_______  MANUFACTURER (plus $125. per unit fee) -                                   $330.00
_______  FINANCIAL INSTITUTIONS -                                                          $350.00
_______  TRANSPORTERS, SERVICE, INSURANCE, SUPPLIERS  -            $200.00
                  AND OTHERS
_______  ASSOCIATE MEMBER - (no voting privileges) -                               $75.00
Voting Privileges -- All votes count equally - ONE vote per membership


Please make checks payable to the:
North Dakota Manufactured Housing Association
and mail this form along with payment to the address at the top.


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Last Updated 11/21/06
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