Nature Coast Chapter - Online Membership Application Form

A building official, assistant official, field inspector, plans examiner, fire safety inspector, or other federal, state, county, or municipal employee actively engaged in the administration and enforcement of building, housing, zoning, and fire regulations.

A member of an organization, association, institute, corporation, partnership, company, or manufacturer, an architect, engineer, builder, contractor, planner, or other related person interested in the objectives of this chapter.

A retired building official, assistant building official, field inspector, fire safety inspector, or other federal, state, county, or municipal employee formerly engaged in the administration and enforcement of building, housing, zoning, and fire regulations upon payment of dues at one half the rate established herein for active members.

Any individual who has rendered outstanding service to the Chapter, or any person who is a new member to the ICC, and who is recommended by the Board of Directors and confirmed by a majority of the members present at a regular meeting.

			Nature Coast Chapter
			Building Officials Association of Florida International Code Council

Online Membership Application Form

NATURE COAST CHAPTER
BUILDING OFFICIALS ASSOCIATION OF FLORIDA
AND THE INTERNATIONAL CODE COUNCIL

2010 MEMBERSHIP APPLICATION

Name:* Date:* mm/dd/yy Jurisdiction/Organization:* Position/Title:* E-Mail Address:*
Work Phone:*	( )
Fax:	( )
Home Phone:*	( )
Other:	( )
Preferred Mailing Address: Business Home Street:* City/State:* Zip:* Would you approve listing your contact information on the Nature Coast Chapter website: Yes No

DESCRIPTIONS OF MEMBERSHIP TYPES (below)
*** Memberships run from January 1st through December 31st each year ***

TYPE OF MEMBERSHIPS:
(Please Check Appropriate Membership)

ACTIVE MEMBER: -------------------$ 15.00 each ASSOCIATE: -------------------------$ 15.00 each RETIRED: -------------------------------$ 7.50 each
	TOTAL DUE:*

(Please list below all members)

NAME: Phone ( ) Email:
NAME: Phone ( ) Email:
NAME: Phone ( ) Email:
NAME: Phone ( ) Email:
NAME: Phone ( ) Email:
NAME: Phone ( ) Email:
NAME: Phone ( ) Email:
NAME: Phone ( ) Email:

Please return this application with your check payable to:
Nature Coast Chapter BOAF & ICC
P.O. Box 12268
Brooksville, FL 34603

MEMBERSHIP BENEFITS

• Provide Continuing Education Courses for Contractors, Inspectors and Design professionals.

• Networking and sharing ideas between the building industry professionals.

• Professional development with round table discussions on building codes, construction, inspections, code requirements, etc.

• Scholarships awarded to deserving Nature Coast Chapter members or their dependents and/or relatives.

COME & JOIN US!!

TYPE OF MEMBERSHIPS:

ACTIVE MEMBERSHIPS: a building official, assistant official, field inspector, plans examiner, fire safety inspector, or other federal, state, county, or municipal employee actively engaged in the administration and enforcement of building, housing, zoning, and fire regulations. PLEASE LIST ALL YOUR PERSONNEL BELOW OR SEPARATE SHEET OF PAPER.

ASSOCIATE MEMBERSHIPS: a member of an organization, association, institute, corporation, partnership, company, or manufacturer, an architect, engineer, builder, contractor, planner, or other related person interested in the objectives of this chapter. PLEASE LIST ALL YOUR PERSONNEL BELOW OR SEPARATE SHEET OF PAPER.

RETIRED MEMBERS: a retired building official, assistant building official, field inspector, fire safety inspector, or other federal, state, county, or municipal employee formerly engaged in the administration and enforcement of building, housing, zoning, and fire regulations upon payment of dues at one half the rate established herein for active members.

HONORARY MEMBERS: any individual who has rendered outstanding service to the Chapter, or any person who is a new member to the ICC, and who is recommended by the Board of Directors and confirmed by a majority of the members present at a regular meeting.

If you have any questions, please call Jodi Singer at 352-540-6705 or Marcia Bento at 352-540-6747.
Visit our website @ www.naturecoastchapter.org for more information about our Chapter!

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