Membership Information Form

EASTERN IDAHO APARTMENT ASSOCIATION

MEMBERSHIP APPLICATION

 

Name: ___________________________________       Date: ______________________                      

 

Company: ________________________________       Title:_______________________

 

Mailing Address:   ______________________________________________________

 

City/State/Zip: _________________________________________________________

 

Phone: ______________________ Fax: _______________  Email: __________________               

 

Signature: _________________________________  Referred By:________________

 

Number of Units Owned or Managed: ______________________________________

 

Product or Service Provided: _____________________________________________

 

I/We want to work on one of the following committees.  Please check one.

 

    Local Legislative Issues: ______  Membership: ______  Meetings/Programs: _______

 

I/We would be interested in speaking at a month meeting (Topic):

 

_______________________________________________________________________

 

 

Please mail this form along with annual dues of $75 payable to:

 

 

                                  Eastern Idaho Apartment Association

                                  C/O Bart Weaver, Treasurer

                                  P.O. Box 51540

                                  Idaho Falls, ID 83405

 

 

If you have any questions, please call:            

                                  Jake Durtchi:          (208) 522-3138  Membership

                                  Kathleen Powell:   (208) 821-6280  President

                                  Klayton Tietjen:    (208) 351-5957  Programs