VMBA Membership
Application

Complete Company Name:
Directors of Corporation:
Principal Officers of Virginia:
Street Address:
City:
State:
Zip/Postal code:
Phone:
FAX:
Type of Business Conducted:
Type of Loans Originated:
State of Organization:
Please check which items apply:
Approved By:	VA FHLMC FHA FNMA
Supervised By:	FIDC FSLIC Federal         Reserve Other
Does your Firm Originate and Process their own Loans?	YES   NO
Please list two Industry Related Firms with whom you have done business.	(Please include letters of reference from these two firms with your application.)
Is your company currently a member of The Mortgage Bankers Association of America?	YES NO

I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND
CORRECT, AND AGREE TO UPHOLD ARTICLE 5
(CANONS OF ETHICS AND STANDARDS OF PRACTICE) OF THE BYLAWS.

Email Address:

Information is accurate.

Information is not accurate.

Membership fee is as follows:

REGULAR MEMBER: $425.00 US (Plus Local Area Dues)

ASSOCIATE MEMBER: $350.00 US (Plus Local Area Dues)

AT-LARGE MEMBER: $425.00 US (At-Large Members Do Not Pay Local Area Dues)

AFFILIATE MEMBERS ARE ONLY REQUIRED TO PAY LOCAL AREA DUES

Local Association (check each that apply):

	Local Association	Regular/Associate	Affiliate
	Charlottesville	$75	$150
	Lynchburg	$50	$50
	Peninsula	$100	$100
	Richmond	$200	$200
	Roanoke Valley	$100	$100
	Tidewater	$200	$200

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PLEASE SUBMIT MEMBERSHIP FEE MADE OUT TO VMBA, AND THE REQUIRED TWO LETTERS
OF REFERENCE TO:

Virginia Mortgage Bankers Association
Membership Department

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FOR QUESTIONS REGARDING MEMBERSHIP, CONTACT:

MEMBERSHIP CO-CHAIRS
Debbie Jones
Charter One Mortgage Corp.

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