2021 PRO New England Membership Application

Sponsor

Company Name*

Representative

Title

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Email

Website

List other company representatives to receive direct communication from EM NARI (use separate sheet if necessary

Name

First Last

Email

Name

First Last

Email

Name

First Last

Email

Company Type

Remodeling Contractor
Designer/Architect
Subcontractor/Trade
Supplier/Manufacturer
Professional Service
Non-Profit Org./School
Student
Retired

Have you previously held NARI membership?

NO
YES

If so, when?

Date company was established?

Number of employees?

Average number of jobs each year:

Annual sales volume:

Approximate % of Revenue Spent On:

Windows/Doors:	Roofing:	Siding:	Cabinets:	Plumbing Fixtures:	Appliances:	Lumber:	Tools:

HVAC:	Flooring:	Counters:	Lighting:	Home Automation:	Vehicles:	Finance/Insurance:

REQUIRED LICENSES AND INSURANCE

Please provide proof of General Liability Insurance by forwarding a Certificate of Insurance from your agent. If your business has employees include proof of Workman’s Comp. If your business has vehicles include proof of Auto Insurance. Certificate of Insurance must accompany application.

1. Does your business act as a Home Improvement Contractor?

HIC Number:

Construction Supervisor’s License (CSL) Number:

2. Is your business a Trade Service Vendor?

Trade License Type:

Trade License Number:

3. Does your company perform product installations? Work on homes older than 1978? Perform painting work?

For work in Massachusetts:

RRP Training Certificate Number:

Exp. Date:

For work in other states:

EPA Certification Number:

EPA Expiration Date

EPA Expiration Date:

4. If applying for Retired Member status, please list your former company name:

Company:

Year Retired:

5. If applying for Student Membership status, please list the following information:

School Name:

Expected Graduation Date:

Area of Study:

ACKNOWLEDGMENT

Please review this application to ensure that all information is complete and correct. Dues must accompany this application. Chapter membership is provisional and subject to approval of the NARI Chapter Board of Directors. I have reviewed the information contained in this membership application and confirm that this information is correct to the best of my knowledge and attest that I am in compliance with the attached Code of Ethics, and agree to comply with the Bylaws and Code of Ethics of the Association in the future.

Signature/Date

Signature

EM NARI supports the families of our members and local youth entering the industry through our EM NARI Foundation which offers scholarships and supports charitable service and education work. Please consider making a donation when you submit your dues. This amount will be run separate from your dues payment. (EM NARI Foundation Tax ID: 47-1104787) I want to support the EM NARI Scholarship Fund! Please include the following payment:

$25	$50	$75	$100	Other Amount:

Total

$0.00

Dues Amount:

(Optional) EM NARI Foundation Contribution:

TOTAL:

Payment Type:

Credit Card	Check (Make payable to: Eastern Mass. Chapter, NARI, Inc.)

Card #:

Name on Card:

Billing Zip Code:

Expiration Date:

CVV Security Code:

Return application, Certificate of Insurance and payment to: EM NARI, 831 Beacon Street #186, Newton Ctr, MA 02459 FAX: 617-663-6566 Questions? Please contact us at: PH: 508.907.6249 or EMAIL: ADMIN@EMNARI.ORG

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2019 Membership Application

REQUIRED LICENSES AND INSURANCE

ACKNOWLEDGMENT