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NEW
YORK STATE ASSOCIATION FOR AFFORDABLE HOUSING
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NEW
YORK STATE ASSOCIATION FOR AFFORDABLE HOUSING
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5925
BROADWAY • BRONX, NEW YORK 10463 |
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APPLICATION FOR MEMBERSHIP |
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| Name | ___________________________________________________ |
| Affiliation | ___________________________________________________ |
| Address | ___________________________________________________ |
| City/State/Zip | ___________________________________________________ |
| Phone | ___________________________________________________ |
| Fax | ___________________________________________________ |
| ___________________________________________________ | |
| I am applying for the following level of membership: | |
| _____ | Board of directors ($5,000 to join, $3,000 renewal) |
| _____ | Advisory board ($3,000 to join, $2,500 renewal) |
| _____ | Associate member ($500 to join) |
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Associate
member renewals:
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Small
firm / NFP ($500)
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Regular
Associate ($1000)
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Developer
($1500)
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Please make your check payable to the New York State Association for Affordable Housing and mail it with this form to the Association at 5925 Broadway, Bronx, New York 10463 or provide credit card info: |
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Name
on card: _________________________________
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Billing
Address: ______________________________________________________________________
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Type
of card:______________________________(mastercard, visa, american
express)
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Card
numbers: __________________________________ Exp. Date ____________________
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Please provide a brief description of the type of development work that you are involved in and/or any specific interests you have in the field of affordable housing: |
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| ____________________________________________________________ | |
| ____________________________________________________________ | |
| ____________________________________________________________ | |