HSQBA Affiliate Membership Application

HSQBA Affiliate Membership Application

To apply for membership please complete and we will get back to you.
Meeting Information

The HSQBA General Meetings the third Tuesday of every month, 9:15-11:30 am at GAAR
Name

First NameLast Name
Company Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Work
Please enter a valid phone number.Format: (000) 000-0000.
Website URL
What type of business do you have?
Lender, Title, Estate Sale, Inspector etc
How can your services benefit our membership?
Do you specialize in anything in your field?
How long have you been in your industry?
Birthday (if you want to be celebrated)
Month/Day
Do you want to be asked to bring snacks to a meeting?
Affiliates are invited to participate in the monthly meetings. Affiliates will be invited to participate in the HSQBA Groupme Blog, but no self-promotion will be permitted. Affiliates are welcome to promote themselves at the General Membership meetings. Affiliates are encouraged to participate in HSQBA social events, classes and meetings. Affiliate members are non-voting members, but have the privileges of HSQBA membership.
Do you agree to have your Company name, License number (if applicable), Picture , Website, and Phone number on www.HSQBA.org and/or www.HSQBA.com website and other marketing and advertising materials including but not limited to print and online media as deemed necessary or appropriate by the HSQBA board?
Marketing Photo

Please upload the marketing photo you authorize us to use in the aforementioned ways
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Company Logo

Please upload the company logo you authorize us to use in the aforementioned ways
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Affiliate Membership is $750.00/year unless otherwise indicated. How would you like to be charged?
By signing below, I affirm that I will abide by all the Rules, Regulations, Bylaws and Amendments of HSQBA? I also pledge to attend as many meetings and events as possible to be an active member of the organization.
Signature
Should be Empty:

HSQBA Affiliate Membership Application

Meeting Information

By signing below, I affirm that I will abide by all the Rules, Regulations, Bylaws and Amendments of HSQBA? I also pledge to attend as many meetings and events as possible to be an active member of the organization.