National Association of the Remodeling Industry
Local Chapter Membership Application

Chapter: Miami Valley NARI

Email Address:
Company Name:
Social Security or FEI #:
Designated Representative:   Title:
City:  State:  Zip:
Telephone:  Fax:

Applicant Profile (for NARI use only; to be held in strict confidence)

1. What is your industry involvement?
Other - Please Explain:  

2. Please indicate your approximate percentage of dollar Partnership volume in each of the following areas: (total should equal 100%)
Residential repair/remodeling: %
Commercial/Industrial remodeling: %
New construction: %
Other: %

3. Area of Specialization: (total should equal 100%)
 % Roofing  % Replacement windows
 % Insulation  % General remodeling
 % Kitchen/bath         % Electrical
 % Siding  % Heating/AC
 % Other - Please Explain: 

4. Annual Sales Volume:

5. Have you previously held NARI membership?
Yes     When?

6. Date company was established:

7. Number of full-time employees: 

8. Company type:

9. Please list other trade associations in which you hold membership:

10: Names of principals and officers of your company:

Local Chapter Dues:

$310.00 per year
Initiation Fee: $20.00
Check Mailed    Charge Visa     Charge MasterCard
Card Number:     Expiration Date:

Eligibility for NARI membership requires that applicants be actively engaged in the remodeling industry for at least one full year prior to application and must conduct their business in compliance with the NARI Code of Ethics. Applicants must also agree to comply with the NARI Bylaws.
Note: Membership dues are deductible as ordinary and necessary business expenses; however, pursuant to the Omnibus Reconciliation Act of 1993, NARI National estimates that $20.00 of dues is not deductible for federal income tax purposes. (Consult your local chapter concerning amounts that may not be deductible due to the chapter's lobbying efforts).

1. Please indicate your state of local business license number:
2. Liability Insurance Company: Policy #:
3. Workers' Comp Company: Policy #:

I. Bank Reference: Acct #:
Contact: Phone:
Address: State: Zip:

II. Customer Reference:
Contact: Phone:
Address: State: Zip:

    Customer Reference:
Contact: Phone:
Address: State: Zip:

III. Trade Reference: Acct #:
Contact: Phone:
Address: State: Zip:

Application for membership authorizes NARI to conduct a credit and reference check subject to the Fair Credit Reporting Act and relevant public law.

By submitting this form, you acknowledge that you have reviewed the information contained in this membership application and confirm that this information is correct to the best of your knowledge. By applying for membership in the National Association of the Remodeling Industry (NARI), you agree to comply with the bylaws and Code of Ethics of the Association.

Miami Valley NARI requires applicants to attend one (1) membership meeting prior to application processing or that the applicant be sponsored by a member in good standing. Contact the Miami Valley NARI office for more information.

Miami Valley NARI, 136 S. Keowee St., Dayton, OH 45402
937.222-NARI, Fax 222.5794
[email protected]