NAMFS | National Association Mortgage Field Services

May 9, 2008

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NAMFS

APPLICATION FOR MEMBERSHIP
* Note: required fields.

Before you submit your on line application please read carefully.
After completion of this application please print an original copy. Sign, complete and date the original copy and enclose with a check for the non-refundable application fee of $150. Upon acceptance of your membership, $300.00 to cover first year dues for Regional membership, $500.00 for Affiliate membership, $800.00 for National membership or $1000.00 for Associate membership will be due.

Send the signed, dated original application, your check for the application fee and two letters of recommendation (at least one must be from a NAMFS member) to:

NAMFS, Inc.
PO Box 39281
Solon OH 44139

Phone: (440) 424-6038
Fax: (440) 349-1366

For your questions: email Tim.Doehner@NAMFS.org

*Note: Following receipt of all requested information will be a two week comment period before acceptance as a member will be granted.

Organization

Organization Name*
Contact Name* (Receives all NAMFS mailings)
Contact Email*
Contact Phone Number*

Organization Details

Address*
Address (continued)
City / Suburb*
State*
Zip / Postcode*
Country*
Organization Phone Number
Organization Fax Number
Please select type:	Corporation Partnership Proprietor
Year Organized	(YYYY)

Services Performed

Please select type:	Fieldwork Property Preservation Other (please explain)
Other services explain
List Those States Where You Provide Your Services
Will You Act As A Sub-Contractor For Other Field Service Companies?	Yes No
Do You Carry Liability Insurance?	Yes No
If so, Amount
Insurance Company
Do You Carry Workers Compensation?	Yes No

Management Details

First

Second

Third

Names of Owners and/or Officers
Position / Title
How long active at company	yrs.	yrs.	yrs.
How long active at industry	yrs.	yrs.	yrs.
Percent Ownership	%	%	%

Have you or, any officer ever been involved in bankruptcy, insolvency, made assignment for benefit of creditors or been indicted for or charged publicly with fraud or misrepresentation?	Yes (If yes, explain below) No
Please explain.

References

Please list those companies who have or will furnish a letter of recommendation for your membership in NAMFS. We require two letters and prefer they be NAMFS members if possible. Application cannot be processed until letters are received. Please ask that your sponsors fax letters to 732-292-0134. or Email to: {email}

Name	Title	Company
1)
2)

Additional (optional)

How did you hear about us?
Comments

Application Type

Please select below. Note: first year dues are to be submitted with the application.

Agreement

The undersigned hereby applies for regular membership in the
National Association of Mortgage Field Services, Inc. and affirms that the applicant organization is in accord with and conducts its business in conformity with the NAMFS Canon of Ethics and Standards of Practice.




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