Company Name:
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Leave Blank:
Phone:
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Website:
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Email:
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Business Description (200 char max):
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Directory Category:
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--- Select Primary Category ---
Appliances
Architects
Audio / Visual Services
Building Materials
Business Services
Cabinetry
Certified Remodelers
Closet Design and Install
Community Partners
Consultants
Custom Home Builder
Deck Builder
Design / Build Firms
Designers
Education
Electrical Contractors
Engineers
Faucets and Fixtures
Fencing Services
Financial Services
Flooring Suppliers
Foundation, Basement and Crawl Space Services
Garage Door Services
General Contractor
Glass Services
Government Services
Gutter Services
Handyman Services
HVAC Services
Insulation Services
Kitchen / Bath Contractor
Lighting
Marketing and Advertising
Mold Remediation
Outdoor Living and Landscape Contractors
Painting Contractors
Plumbing Contractors
Pressure Washing
Printing Services
Real Estate Firms
Restoration Specialists
Roofing Contractors
Siding Contractors
Tile and Stone Suppliers
Windows and Doors
Business Keywords (enter a space between words):
License Number:
Federal Tax ID#:
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Annual Sales Volume:
Up To $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
> $5,000,000
Please list the names and titles of the principals and officers of the company:
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How did you hear about NARI?:
Current Member
Previous Membership
Trade Show
Website
NARI Directory
Other
Has the applicant or any company owned by applicants owner(s), or any of applicants owner(s), directors, officers, managing employees or qualifying person ever been convicted of a crime or been involved in any incident where physical harm or threats toward another person or sexual assault was alleged::
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Yes
No
Has the applicant or any company owned by applicants owner(s), or any of applicants owner(s), directors, officers, managing employees or qualifying person have any mechanics liens or lien foreclosures (excluding pre-lien notices) filed against any of your projects that have remained unresolved for longer than one year: :
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Yes
No
Have you or your company filed for Bankruptcy in the last 10 years? :
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Yes
No
Has the applicant or any company owned by applicants owner(s), or any of applicants owner(s), directors, officers, managing employees or qualifying person ever been a principal or officer of a building or remodeling business whose contractor?s license has been revoked, suspended or denied:
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Yes
No
Has the applicant or any company owned by applicants owner(s), or any of applicants owner(s), directors, officers, managing employees or qualifying person have any unsatisfied judgments::
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Yes
No
Has the applicant or any company owned by applicants owner(s), or any of applicants owner(s), directors, officers, managing employees or qualifying person filed for bankruptcy or protection from creditors within the last 5 years: *:
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Yes
No
If you answered YES to any of the questions listed above, please provide a detailed written explanation, including but not limited to the identity of the person or company involved, and how the matter was resolved or will be resolved if pending.:
Yes
No
Liability Insurance Company and Policy Number::
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Workers Compensation Company and Policy Number: :
*
Please list a customer references (contact, address, phone and e-mail) Name::
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Please list a customer references (contact, address, phone and e-mail) Email:
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Please list a customer references (contact, address, phone and e-mail) Phone: :
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I have reviewed the information contained in this membership application and confirm that this information is correct to the best of my knowledge. By applying for membership in the National Association of the Remodeling Industry (NARI) MN Chapter::
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Yes
No
I hereby acknowledges to have read the NARI Code of Ethics (copy and past this link into your browser to view the Code of Ethics: http://tinyurl.com/NARIcodeofethics) and agree that I and my company will abide at all times and with all actions to the NARI Code of Ethics. I further agree that any breach of the NARI Code of Ethics I or my member company make may result in expulsion from NARI: :
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Yes
No
