NAMFS Online Membership Application

Please enter your first name

First Name:

Please enter your last name

Last Name:

Please enter your desired username

Username:

Please enter your desired password for this portal

Password:

Please confirm your password

Confirm Password:

Please enter your desired displayname for the portal

Display Name:

Please enter your email address

Email Address:

Organization Information

Please enter the Name of your Organization

Organization Name:

Please enter your street address

Address:

Please enter your unit or suite number

Address (continued):

Please enter your city

City:

Please select your country

Country:

Please enter your region or state

Region (State):

Please enter your postalcode

Postal Code:

Please enter your organization telephone number

Organization Telephone:

Please enter your cell phone number

Organization Fax:

Please enter your website address

Website:

Please select your time zone

TimeZone:

Please select the type of organization for your business

Business Organization Type:

Corporation
Partnership
Proprietor

Please enter a value for the field Year Organized.

Year Organized:

Please select the types of services offered

Services Offered:

Property Preservation
Inspection
Software Programming
Insurance Sales
Material/Hardware Supplier
REO Broker
Mortgage Company
Appraiser
Other

Please list the other services your organization provides.

List other services:

Select all states where you provide services.

List all states where you provide services:
NationwideAlaskaAlabamaArkansasArizonaCalifornia
ColoradoConnecticutWashington_D.C.DelawareFloridaGeorgia
HawaiiIowaIdahoIllinoisIndianaKansas
KentuckyLouisianaMassachusettsMarylandMaineMichigan
MinnesotaMissouriMississippiMontanaNorth_CarolinaNorth_Dakota
NebraskaNew_HampshireNew_JerseyNew_MexicoNevadaNew_York
OhioOklahomaOregonPennsylvaniaPuerto_RicoRhode_Island
South_CarolinaSouth_DakotaTennesseeTexasUtahVirginia
VermontWashingtonWisconsinWest_VirginiaWyoming

Select Yes if you will be acting as a subcontractor and No if you will not.

Will you be a subcontractor to other Field Service Companies?:

No
Yes

Select Yes if your organization carries Liability Insurance.

Do you carry Liability Insurance?:

No
Yes

Please enter the amount of Liability Coverage.

If Yes, Amount:

Please enter Organization's insurance provider.

Insurance Provider:

Select Yes if your organization carries Workers Compensation Insurance.

Do you carry Workers Compensation Insurance?:

Yes
No

Select Yes if your organization carries Errors and Ommissions Insurance.

Do you carry Errors and Ommissions Insurance?:

Yes
No

Ownership and Management Details

Please enter the First and Last Name of the First Owner

Name of Owner and/or Officer:

Please enter the Title or Position of this Owner/Officer.

Title:

Please enter the percent ownership for this owner.

Ownership Share:

Please enter how many years this Owner/Officer has been with this Organization.

Years with Organization:

Please enter the number of Years this Owner/Officer has been in your industry.

Years in Industry:

Please enter the First and Last Name of the Second Owner

Name of Owner and/or Officer:

Please enter the Title or Position of this Owner/Officer.

Title:

Please enter the percent ownership for this owner.

Ownership Share:

Please enter how many years this Owner/Officer has been with this Organization.

Years with Organization:

Please enter the number of Years this Owner/Officer has been in your industry.

Years in Industry:

Please enter the First and Last Name of the Third Owner

Name of Owner and/or Officer:

Please enter the Title or Position of this Owner/Officer.

Title:

Please enter the percent ownership for this owner.

Ownership Share:

Please enter how many years this Owner/Officer has been with this Organization.

Years with Organization:

Please enter the number of Years this Owner/Officer has been in your industry.

Years in Industry:

Select Yes if an Owner/Officer has been involved in bankruptcy, insolvency, made assignment for benefit of creditors or been indicted for or charged publicly with fraud or misreprentation.

Have you or any other Officer ever been involved in bankruptcy, insolvency, made assignment for benefit of creditors or been indicted for or charged publicly with fraud or misreprentation?:

Yes (If Yes, explain below)
No

Please provide an explaination if you answered Yes to the above question.

Please explain if you answered Yes to the above question:

References

Please provide information about compines who will furnish letters of recommendations for your NAMFS membership. NAMFS require two letters of reccomendation. While it is preferred that both be from NAMFS members, at least one MUST be from a current NAMFS member in good standing. The application cannot be processed until the letters of recommendation are recieved. Please ask your sponsor to email letters to Eric.Miller@namfs.org.

Please enter the First and Last Name of the first reference.

Reference Name:

Please enter the title or position of this reference.

Title:

Please enter the company or organization for this reference.

Company:

Please enter the phone number for this reference.

Phone (Required):

Please provide the email address for this reference.

Email:

Please enter the First and Last Name of the second reference.

Reference Name:

Please enter the title or position of this reference.

Title:

Please enter the company or organization for this reference.

Company:

Please enter the phone number for this reference.

Phone (Required):

Please provide the email address for this reference.

Email:

Please list NAMFS members you have worked with.

List all NAMFS members your organization is working with or has worked with in the past:

Licensing Information

Please enter your information in the format [License #] expires [mm/dd/yyyy]. For instance, 1234567890 expires 06/02/2011.

For fields marked 'Other License', please enter your information in the format [License Name] #[License #] expires [mm/dd/yyyy]. For instance, Special License #1234567890 expires 06/02/2011.

Please enter your Plumber License and Expiry Date

Plumber License:

Please enter your Lead Abatement License Number and Expiry Date

Lead Abatement License:

Please enter your Roofing License Number and Expiry Date

Roofing License :

Please enter your General License Number and Expiry Date

General Contractor License:

Please enter your Electrician License Number and Expiry Date

Electrician License:

Please enter your Other License Name, Number and Expiry Date

Other License 1:

Please enter your Other License Name, Number and Expiry Date

Other License 2:

Please enter your Other License Name, Number and Expiry Date

Other License 3:

Membership Type

Regional Member - Individuals or companies providing service seven or less states
Annual Dues - Regional Membership: $300.00

National Member - Companies providing service in eight or more states
Annual Dues - National Membership: $800.00

Affiliate Member - Mortgage servicing or industry related companies (REO Brokers)
Annual Dues - Affiliate Membership: $500.00

Associate Member - Individuals, Companies and Other Vendors who offer products or services to the field service industry
Annual Dues - Associate Membership: $1,000.00

All current Members have input regarding all Applicants; with a final decision on Membership being made by the Association's Membership Committee.

Regional, National, and Affiliate Member Applicaton Fee: $150.00 (non refundable)
Associate Member Applicaton Fee: $300.00 (non refundable)

Please select the Membership Type for your organization.

Membership Type:

This is a non-refundable application fee charged to process your Membership Application

Application Fee (non refundable):

Acknowledgement

Before you submit your online application, please read carefully:

Two letters of recommendation are required
1. One must be from a current NAMFS member in good standing
2. One from an individual engaged in a business relationship with the applicant
You must have a minimum of two (2) years experience in mortgage field services
All applications are subject to review by the Executive Director and will not be processed until all required documentation has been received. A two week comment period will apply to all applications - no exceptions.
Any applicant who has worked for a NAMFS member within the past 12 months must obtain the endorsement of said member. No application will be accepted or processed without the member endorsement until the expiration of twelve (12) months from the receipt of the application.
If it is determined that an applicant has lied on their application, there will be a two year waiting period before the applicant can re-apply for membership.

Please note: the application process does not begin until the receipt of all required documentation - signed application, application fee and two letters of recommendation.

By submitting your online application you agree to these terms and conditions and to follows the Canons and Standards of NAMFS.

I agree to these terms and conditions.

Register with NAMFS.org and Submit Application and Pay Application Fee at PayPal

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