|
North Dakota
Manufactured Housing Association |
|
|
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. |
|
|
|
|
|
Last Updated
11/21/06 |