Required fields*
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| Membership Annual Dues (USA funds drawn on USA bank only.) |
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$395 Full Membership
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$50
Branch Membership
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| Contact Information |
| *Company Name: |
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| *Primary Contact: |
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| *Job Title: |
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| Company Billing Address |
| *Address: |
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| *City: |
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| *State/Province: |
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| *Zip/Postal Code: |
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| *Country: |
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| *Phone: |
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| Toll-Free Phone: |
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| Fax: |
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| *E-Mail: |
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| Web Address: |
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| Company Shipping Address |
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Residential Address (check if address is a residence)
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Same as Billing Address |
| Address: |
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| City: |
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| State/Province: |
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| Zip/Postal Code: |
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| Country: |
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| Phone: |
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| Fax: |
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Payment Method (USA funds drawn on USA bank only)
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Check or Money Order |
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Remit to:
National Wood Flooring Association
P.O. Box 66726
St. Louis, MO 63166-6726 |
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| Credit
Card: |
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| Card Number: |
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| Expiration Date: |
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(mm/yy)
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| Cardholder's Name: |
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Bank Wire:
(add $20 to dues for Bank processing fee.
$415 Full dues
$70 Branch dues) |
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Receiving Bank:
Midwest BankCentre
ABA 081000676
St. Louis, MO
To Credit:
National Wood Flooring Association
111 Chesterfield Industrial Boulevard
Chesterfield, MO 63005
Account # 4393708
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| Please Select a Business Type (please
check only one) |
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Consultant |
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Contractor |
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Dealer |
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Dealer/Contractor |
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Distributor |
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Import/Exporter |
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Manufacturer of
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Manufacturer's Rep |
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Other
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| Did Someone Refer You to the NWFA? |
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Yes |
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Name
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Company Name
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No |
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| *Membership Agreement |
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We hereby agree to be an active member of the NWFA, and abide by its Bylaws and
Standards of Professional Conduct. In addition, we agree to waive any
legal rights we may have to sue any officer or director of NWFA for
mismanagement, malfeasance or negligence arising from any act or failure to act
while an officer or director is acting in his or her capacity as an officer or
director of NWFA.
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| I understand that by providing the above information, I consent to receive communications sent by or on behalf of the NWFA, via regular mail, e-mail, telephone or fax. |
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