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To apply for membership:

  1. Print this page or click here for a pdf
  2. Complete the application
  3. Fax to: (914) 332-1541



Name: _______________________________________________

Company Name: _______________________________________

Address 1: _______________________________________________

Address 2: _______________________________________________

City: ______________________ State: _____ Zip: _______

Phone: ( ___ ) __________________  Fax: ( ___ ) ______________

Email: _________________________________________

PLEASE SELECT A CHAPTER:

.___ NYAMB (Downstate)
.___ WNYAMB (Central & Western NY)
.___ NENYAMB (Capitol Region)

 
PLEASE CHECK ONE:

 
.___ Professional_(Brokers Only)_$375.00 (of which $145.00 is for NAMB Membership Dues)
.___ Affiliate_(Employees Banks, Title Companies, Attorneys, Etc.) $375.00 ($95.00 NAMB Dues)
.___ Associate_(Employee of a Professional in good standings with the NYAMB)_$275.00 ($45.00 NAMB Dues)

Check here if you would like to have a representative visit you to explain all the benefits ___

VOLUNTEER FOR COMMITTEES. Please check your preferences:
___ Membership
___ Public Relations
___ Grievances & Ethics
___ Benefits
___ Education
___ Meetings & Conventions
___ Legislative & Regulatory
___ Other Interest(s)

I hereby apply for NYAMB/NAMB Membership and pledge if accepted, to abide by the requirements of their constitutions, by-laws and code of ethics, as they are now and as they may be amended.

SIGNATURE: ________________________________

* All applicants for PROFESSIONAL MEMBERSHIP must include a photocopy of your Registered Mortgage Broker Certificate.


TO CHARGE MEMBERSHIP:

Name as it appears on Credit Card:. __________________________________

Card Type: __________________________________

Card Number: ________________________________  Exp. Date:. _________

Signature of Card Member: _________________________________________


MAKE CHECK PAYABLE TO NYAMB AND MAIL WITH THIS FORM TO:

NYAMB Headquarters
25 North Broadway
Tarrytown, NY 10591
Telephone: (914) 332-6233
Fax: (914) 332-1541
Toll Free No.: 1-(877)-MTGBROKER
www.nyamb.org

SPONSOR'S NAME: ________________________________

COMPANY NAME:. ________________________________

The New York Association of Mortgage Brokers respects your privacy and accordingly, it is NYAMB policy not to sell the names and addresses of its members to any third parties. However, the NYAMB does place the names of its Professional Members on its website and, for the benefit of its members, does make members' names available to certain business partners with which your Association has negotiated special deals for you (e.g., U.P.S.). Finally, the NYAMB does send your information to the National Association of Mortgage Brokers (NAMB) since a portion of your NYAMB dues goes to the NAMB for your membership dues in that association.

If you should desire that the NYAMB NOT post your information on our website and NOT provide your information to any third party, please so indicate by checking the box below.

SIGNATURE:. ________________________________

Membership dues are not deductible as a charitable contribution for Federal income tax purposes, but may be partially deductible as a business expense. It is estimated that for 2006, 48% of your NYAMB dues and 38.557% of your NAMB dues are not deductible because they are related to lobbying activities on behalf of the members. Of the $375 charged for Professional membership, $230 is allocated to NYAMB dues and $145 to NAMB dues. Of the $375 charged for Affiliate membership, $280 is allocated to NYAMB dues and $95 to NAMB dues. Of the $275 charged for Associate membership, $230 is allocated to NYAMB dues and $45 to NAMB dues. Members joining in January through September 2006 will expire 12/31/06

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