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!