MemberZone Template

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

YouTube

Twitter

Instagram

Step 2:

Additional Info

Business Description (500 char max)

Business Keywords (enter a space between words)

COMPANY INFORMATION- You acknowledge that all information submitted under this section will be verified.

What year was your company established? *

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Federal Employee Identification Number (FEIN) *

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Have you previously held a PRO or NARI Membership? If YES, when? *

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How did you hear about PRO? If by a member, please list member name. *

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COMPANY DATA- Please provide data from your company for the previous year. Information provided will be kept in strict confidence. National firms should only provide their gross sales in the Metro DC area

Estimated Gross Revenue: *

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Number of Projects/Year *

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Number of Employees (2 Part-time = 1 Full-time) *

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Estimated Volume of Subcontracted Work *

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LICENSING- Please provide data below and upload document using the ''Additional Information'' form

Do you do business in DC? *

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If so, DC License #

Do you do business in MD? *

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If so, MD License #

Do you do business in VA? *

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If so, VA License #

EPA Lead-Safe Certified Firm. *

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EPA Certification Number & Expiration Date

INSURANCE

Liability Insurance Company and Policy # *

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WORKERS COMPENSATION INSURANCE INFORMATION BY STATE- Please respond for each jurisdiction.

DISTRICT OF COLUMBIA- DC law states that you must carry Workers Comp if you have one or more employees. No exceptions.

DC Workers Compensation Insurance Carrier & Policy Number if Applicable *

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MARYLAND- MD Law states that you must carry Workers Comp if you have one or more emploees. If you are an LLC and wish to exempt yourself from Workers Comp, please provide copies of the exemption form.

MD Workers Compensation Insurance Carrier & Policy Number if Applicable *

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VIRGINIA - VA law states that you must carry Workers Comp if you have more than two employees and sub contractors are counted as employees in this instance. There is no exemption if you are an LLC. For more information please see https://www.vbgov.com/government/departments/commissioner-of-the-revenue/Documents/BL/Workers-Comp-Information-for-Contractors.pdf.

VA Workers Compensation Insurance Carrier & Policy Number if Applicable *

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REFERENCES - Please provide three references that can speak to your company's professionalism, sound business practices, or ethical standards. References must be individuals outside of the company and not subsidiaries or other business units with the same ownership.

Trade Reference 1 - Company *

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Point of Contact *

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Phone *

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Email *

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Trade Reference 2 - Company Name *

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Point of Contact 2 *

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Phone *

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Email *

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Client Reference *

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Phone *

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Email *

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Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 5:

Membership Package

Please select a Membership Package

MEMBERSHIP TYPE AND DUES

PRO Mid Atlantic dues are based on annual sales volume for your company: PRO membership dues are not deductible as a charitable contribution but may be deductible as an ordinary business expense.
This is an explanation of dues. An invoice will be generated and sent upon approval of your application.
First year PRO dues are prorated.

REMODELERS (Contractors, Subcontractors or company providing installation services)

Less than or equal to $500,000........................$733.00
More than $500,000 to $1 million......................$860.00
$1 million- $3 million........................................$1,038.00
More than $3 million.........................................$1,275.00

ASSOCIATES (Supplier/Manufacturer or Professional Services)

Less than or equal to $500,000...........................$860.00
More than $500,000...........................................$1,038.00

Additional Fees:

Non- Refundable Application Processing Fee $100 one time

APPLICATION PROCESSING FEE (Dues payments will be collected upon approval) *Applications requiring more than 90 days to process due to applicant delayed response time may incur an additional application fee.

Comments/Questions

Payment Option

Charge my credit or debit card

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I have read and accept the privacy policy of Professional Remodeling Organization Mid Atlantic. I grant Professional Remodeling Organization Mid Atlantic permission to contact me regarding my account, news, updates, and offers.

Please read and accept the privacy policy before continuing.

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Step 4:

Billing Contact

Address

Step 5:

Membership Package

Additional Fees:

Payment Option