MBCEA MEMBERSHIP APPLICATION APPLICANT DATA (Please print or type) CONTRACTOR MEMBER DATE:______________ Company Name Contractor Membership is open to any building contractor proprietorship, partnership, or corporation which has been engaged in the business of marketing metal building systems; and/or metal roofing systems; and/or the contract erection of metal building systems; and/or metal roofing systems, for at least one year. As a contractor member, you can be listed in subcategories. Please check all categories which best describe your primary business: ____ Metal Building Contractor ____ Erector ____ Builder ____ Roofer Mailing Address City, State, Zip Shipping Address City, State, Zip Telephone Fax Email Address Website Address Official Representative Name Title Signature INDUSTRY MEMBER Industry Membership is open to individuals, partnerships, or corporations in the business of providing products and/or services to Contractor Members of the MBCEA. How long has your firm been associated with the metal building industry?___________________________________ Recruited by (if applicable): ____________________________________ REGIONAL REPRESENTATIVES Chapter Membership is open to regional representatives that have a National Headquarters Office (outside of the Chapter area) that has paid the Annual MBCEA Industry Membership National dues of $495.00. Date DUES PAYMENT METHOD ___ ___ ___ ___ CHECK (payable to MBCEA) VISA MASTERCARD AMERICAN EXPRESS Account Number MEMBERSHIP DUES Membership Classification: Annual Dues Pro-Rated July–Dec. Contractor Member $495.00 $247.50 Industry Member $495.00 $247.50 Regional Representatives $130.00 $65.00 Applicants are automatically enrolled as National members and members of the Chapter their headquarters resides in. Expiration Date Security Code (3 or 4 digits) Name on Card Signature Mail or email this application with applicable membership dues to: MBCEA P.O. Box 4308 Bethlehem, PA 18018 Email: [email protected] Please call Sasha Graver at (484) 239-3337 with any questions. Thank you for joining the Metal Building Contractors & Erectors Association!
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