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Basic Contact Information
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| National Member No | |
| Prefix | |
| First Name | |
| MI | |
| Last Name | |
| Preferred Name | |
| Suffix | |
| Email | |
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| Title | |
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Work Address
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| Organization Name | |
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| City | |
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| Work Phone | |
| Mobile | |
| Direct Dial | (include Ext. if applicable, IE: (123) 456-7890 Ext. 111) |
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Home Address
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| Address | |
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| Home Phone | |
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PRIMARY ADDRESS
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| Please indicate ONE address where you would like to receive all mailings:
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| WORK Address is Primary Address |
| HOME Address is Primary Address |
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Member Profile
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| Specific areas in which I am primarily involved (select all that apply):
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| Aerospace/Aviation | Industrial Warehouse/Distribution | Religious |
| Build-to-rent Housing | Institutional | Retail |
| Cold Storage | Land Development | Self-Storage |
| Data Centers | Life Sciences | Senior Housing |
| Hotel/Hospitality | Medical Office/Health Care | Sports/Entertainment |
| Industrial-Flex Space | Mixed Use | Industrial-Warehouse/Distribution |
| Industrial Manufacturing | Multifamilyy | Student Housing |
| Industrial Outdoor Storage/Truck Terminals | Office | Other |
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Personal Scope of Business (select one)
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Demographic Profile
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| The following questions are optional and your responses will be held in strict confidentiality. The information will only be used to assist NAIOP in the development of new products and services. NAIOP uses this information to track trends and ensure that the needs of our diverse membership are being met.
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| Birthdate: | ?
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| Gender Identity: | |
| Race and Ethnic Identity: | |
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Membership Category
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PLEASE CHOOSE YOUR LEVEL OF MEMBERSHIP
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| Membership Type: |
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| Full Member (first): $1430
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| | You are the first person from your organization to join NAIOP Northern Virginia (Dues that may not be deducted as a business expense: $210.50) |
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| Affiliate Member: $530
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| | You are the second or subsequent person to join from the member firm, with NAIOP Northern Virginia as your primary chapter. (Dues that may not be deducted as a business expense: $70.50) |
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| Developing Leader Member: $530
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| | You are 35 years of age or less. *Proof of age must accompany this application or your membership cannot be fully activated. (Dues that may not be deducted as a business expense: $68.00) |
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| Public Official Member: $530
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| | You are employed by a local, state, or federal government or non-profit organization. (Dues that may not be deducted as a business expense: $68.00) |
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| Student Member: $125
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| | You are a full-time student, who is not employed full-time. A copy of your student ID and current class schedule are required and must accompany this application before your membership can be fully activated. (Dues that may not be deducted as a business expense: $15.00) |
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How Did You Hear About Us?
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| How did you hear about us?
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| Local Chapter |
| NAIOP Conference (Event: ) |
| NAIOP Website |
| Member Referral (Name: ) |
| Direct Mail |
| Phone Call |
| Media |
| Personal Research |
| Social Media |
| Other (Specify: ) |
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Membership Agreement
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| NAIOP memberships are individual, not by company. However, your company may choose to transfer the membership to another individual at any time if the company paid for or reimbursed you for the membership.
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| Signature | |
| By signing above, I acknowledge that I will accept emails, faxes, and other communications from NAIOP. |
