To promote and protect the general welfare of the factory-built housing industry

To the Board of Directors: The undersigned hereby applies for membership in the West Virginia Housing Institute, Inc., a trade association incorporated under the laws of the State of West Virginia as a non-profit association. The undersigned agrees to abide by all present and future By-Laws of the West Virginia Housing Institute and present and future rules and regulations set by the Board of Directors, to attend meetings whenever possible, to cooperate with fellow members and to be a proud and responsible member.

MEMBERSHIP CLASSIFICATION
	Select classification:	Manufacturer Dealer/Distributor/Retailer Installation Contractor Service Supplier Lender/Bank/Finance Company Rental Community or Subdivision Owner/Developer Transporter/Convoy Company Other
	If OTHER, please specify:
	If DEALER, please list the factory-built homes you sell:
	If MANUFACTURER, please list the West Virginia dealers you ship to (company name & city):
	Number of Home sites Available:
MEMBERSHIP DATA
	Firm Name:
	Street Address:
	City, State, Zip:
	Phone:
	Fax:
	Home Phone:
	Email:
Who should receive bulletins, memos, etc.
	Contact Name:
	Contact Title:
DUES STRUCTURE
MANUFACTURER: Dues shall be Fifty Dollars ($100.00) per floor for each home shipped within the State of West Virginia to dealers, contractors, retailers or sales locations in West Virginia. These dues shall be remitted to the West Virginia Housing Institute, Inc. on a monthly basis.
	We will send $100.00 per floor shipped to West Virginia on a monthly basis.
CONTRACTORS AND RENTAL COMMUNITY: Per Annum
	$100
ALL OTHER CATEGORIES: Per Annum
	$250