MBIA Membership Application

Membership Application
Contact Information
Name*

First NameMiddle InitialLast Name
Company*
Title*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Physical Address

Street Address

Street Address Line 2

CityState

Zip Code
Business Phone*
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Primary Email*
example@example.com

Additional Emails

Please list the others in your company to add to the email list
Contact 1

First NameLast Name
Contact 1 Email
example@example.com

Invoice/Statement Contact Information

Please send Invoices and Statements via email
Invoice/Statement Email*
example@example.com
Company Website

Additional Materials
Builders & Subcontracters

You are rquired to submit a copy of your Certificate of Contractors Registration with this application
Certificate of Contractors Registration Upload

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References

Business references (List two business/professional references with phone numbers.)
Reference 1 Name *

First NameLast Name
Reference 1 Company*
Reference 1 Phone Number*
Please enter a valid phone number.
Reference 2 Name *

First NameLast Name
Reference 2 Company*
Reference 2 Phone Number*
Please enter a valid phone number.
MBIA Sponsor

Please name one current member of MBIA who you feel influenced your decision to join.
Sponsor Name*

First NameLast Name
Sponsor Company*

Membership Types*

Builder MBIA Membership

$595.00 Quantity

Associate MBIA Membership

$595.00 Quantity

Affiliate MBIA MembershipAffiliate members must be an employee of an existing member company in good standing with the MBIA.

$100.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I agree to abide by the By-Laws, Policy, and Procedures and the Code of Ethics of the Missoula Building Industry Association, Montana Building Industry Association and the National Association of Home Builders to which this membership application is directed. A remittance of $595, representing my Annual Dues accompanies this application. MBIA dues are not deductible as a charitable contribution for federal tax purposes, but may be deductible as a business expense, subject to an exclusion for lobbying activity.
Signature*

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Date*

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Date

Code of Ethics

Missoula Building Industry Association
MBIA is a nonprofit trade organization which strives for the excellence and professionalism of our members. We strongly believe in, and accept the responsibilities and obligations inherent in our provisions of housing, light commercial construction and any other services consistent with the National Association of Home Builders (NAHB) code of ethics. We believe that home ownership should be within the reach of all Americans.

We support the following objectives:
1. To conduct business affairs with professionalism and skill.
2. To provide the best housing value possible.
3. To protect the consumer through the use of quality materials and construction practices backed with integrity and service.
4. To provide housing with high standards of safety, sanitation and livability.
5. To meet all financial obligations in a responsible manner.
6. To comply with the spirit and letter of business contracts and to manage employees, subcontractors and suppliers with fairness and honor.
7. To keep informed regarding public policies and other essential information that affects our business interests and those of the building industry as a whole.
8. To comply with the rules and regulations prescribed by law and government agencies for the health, safety, and welfare of the community.
9. To keep honesty as our guiding policy.
10. To provide timely responses to items covered under warranty.
11. To seek and resolve controversies through a non-litigation dispute resolution mechanism.
12. To support and abide by the decisions of the association in promoting and enforcing this Code of Ethics.
I have read and agree to abide by the Code of Ethics of the Missoula Building Industry Association.
Name*

First NameLast Name
Company*
Signature*

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Date*

MonthDayYear
Date

Membership Profile

Please provide the following information for your membership profile.
Name*

First NameLast Name
Company*
Phone Number
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
May we call you on your cell number?*

YesNo
Email
example@example.com
Website
Type of Business*
Size of Company (Number of Employees)*
Years in Business*
Products/Services Offered*
What main category would you like to be listed under in the Membership Directory?*
Reason for joining MBIA?*
What do you hope to get our of your membership?*
Desired areas of involvement in MBIA?*
Are there any committees that interest you?
What other organizations do you belong to?
Personal (family, hobbies, community involvement)
Should be Empty:

Membership Application

Contact Information

Additional Emails

Invoice/Statement Contact Information

Additional Materials

References

MBIA Sponsor

Code of Ethics

Membership Profile