NCOPM Membership Application

NCOPM Membership Application

If you are currently a full-time personal manager who has has an established reputation of ethical business practices and meets eligibility requirements, you are invited to apply for NCOPM membership. Please answer all required (*) questions.
1. Is personal management your principal source of business income?*

YESNO (Disqualified for Membership - DO NOT PROCEED WITH APPLICATION)
2. Do you hold membership or an agency franchise in any of the performing arts trade unions?*

YES (Disqualified for Membership - DO NOT PROCEED WITH APPLICATION)NO
3. Do you accept advance fees on the promise of procuring employment?*

YES (Disqualified for Membership - DO NOT PROCEED WITH APPLICATION)NO
4. Do you share an office on or within the premises of, or work for, or is in business with, any of the following: (A) an attorney; (B) a certified public accountant; (C) any person who holds an agent's franchise with AEA, AFM, AGMA, AGVA, SAG-AFTRA or other performing arts trade union, or (d) any has any association, ownership, or is in business with an acting, vocal, model or dance school, photographer and/or casting or theatrical agency?*

YES (Disqualified for Membership - DO NOT PROCEED WITH APPLICATION)NO
5. Applicant's Name*

First NameLast Name
6. Business Name*
7. Type of Business Entity*
8. Business Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
9. Business Phone*
Please enter a valid phone number.
10. Mobile Phone*
Please enter a valid phone number.
11. Business Email*
example@example.com
12. Business Website*
https://example.com
13. Provide usernames for any of your social media accounts.
Instagram
@Username
Facebook
@Username
LinkedIn
@Username
TikTok
@Username
YouTube
@Username
14. How many years have you been a personal manager?*
15. Provide a brief professional biography.*
16. List and describe any other business interests.*
17. Why are you applying for consideration for election to NCOPM membership7*
18. Provide names, phones and emails of three professional references (e.g., agents, casting directors, producers, etc.).*
19. List your current management clients with their occupations (e.g., actor, comedian, musician, etc.) and agency representation.*
20. List any entertainment trade association memberships.*
21. Are you listed in the database directories on any of these industry websites1*

BackstageCelebrityAccessIMDbProPollstarNone of the above
22. Are you currently or have you ever been a party in any litigation related to the entertainment industry?*

YESNO
23. If you answered YES to the preceding question, please provide an explanation.
24. I certify that the information I have provided in this Membership Application to be true and accurate.*

YES
APPLICATION FEES

A one-time Initiation Fee of $350 plus $180 for current calendar year Annual Dues are payable in full with your submitted application. In the event that your Application is not approved, your Initiation Fee and Annual Dues payment will be refunded. Your Membership Application will be reviewed, screened and verified by the NCOPM Membership Committe. You will be notified with 30 days whether or not you have been nominated for election to NCOPM membership. In the event that your Application is not approved, your Annual Dues and Initiation Fee payment will be refunded.
APPLICANT'S ACCEPTANCE & AGREEMENT

Applicant accepts and agrees that: (a) if any of the information provided in this Application is inaccurate, false or misleading, the National Conference of Personal Managers Inc. (NCOPM) has the right to reject this Application; (b) this Application is subject to review and approval by the NCOPM Membership Committee and the NCOPM National Board of Officers, at their sole discretion; (c) if any of the information provided in this Application changes at any time, Applicant shall immediately notify NCOPM by email of any such changes; and (d) if any of the information provided in this Application is later determined by NCOPM to be inaccurate, false or misleading, NCOPM shall have the right to terminate Applicant's NCOPM membership and Applicant shall forfeit any payment for Initiation Fee and Annual Membership Dues.

If NCOPM accepts Applicant for membership, Applicant agrees to abide by NCOPM Code of Ethics and all other association rules and regulations. If NCOPM rejects this Membership Application, NCOPM shall refund Applicant's payment for Initiation Fee and Annual Dues.

By submitting this Membership Application, Applicant requests to be considered for NCOPM membership.
Signature

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APPLICATION FEES PAYMENT
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NCOPM MembershipFees include one-time $350 Initiation Fee and $180 current calendar year annual dues. Your Membership Application will be reviewed, screened and verified by the NCOPM Membership Committe. You will be notified with 30 days whether or not you have been nominated for election to NCOPM membership. In the event that your Application is not approved, your Annual Dues and Initiation Fee payment will be refunded.
$530.00

Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

Please click one of the PayPal options to complete payment and submit the form.

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