NIA Trades Together Application Form
NETWORK UP
Full Name
*
First Name
Last Name
Title
*
Ex: Owner/President/Manager
E-mail
*
example@example.com
Application Date
*
-
Year
-
Month
Day
Date
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Number
*
Format: (000) 000-0000.
Website
www.abccompany.com
Membership Selection
Application Fee is set at $200.00. Please select membership subscription option.
Membership Fee
*
Annual Fee for Exclusive Membership $4800.00 (3 payments of $1600.00)
Annual Fee for Standard Membership $1500.00
Monthly Fee for Standard Membership $125.00
1st 10 Property Mgrs/Real Estate Agents $0.00
Billing Information
We will contact you to obtain the credit card information over the phone.
Billing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Trades Together Commitments
Please note that by completing this section and electronically signing this application, you are entering into a binding contract with NIA and NETWORK UP.
1. Are you willing to commit to attend our monthly meetiing, arrive on time and stay for the 90 minutes and, abide by NIA policies, guidelines and code of ethics?
*
Yes
No
2. I understand that I am committing to a 12 month period. (Initial)
*
3. I understand and agree to NIA conducting my background check.
*
Yes
No
4. I understand that fees are non-refundable during annual membership.
*
Yes
No
Applicant Signature
*
Signing your Name constitutes agreement to this Contract.
Printed Name:
*
Signed Date:
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: