Please remit this form and payment to:
2010 Membership Application NCAMP Membership Phone: 919.783.0767
Post Office Box 20875 Toll Free: .866.783.0767
Please choose your membership category. Raleigh, NC 27619 Fax: 919.783.0967
Professional Broker Member (Broker)...…….$295.00
Any owner, principal of a company or individual holding a valid mortgage broker license issued by the North Carolina Commissioner of Banks;
and/or any owner, principal or individual designated as the managing principal of a company by the Office of the Commissioner of Banks.
Professional Associate Manager.............…….$195.00
Any manager of a branch office, as designated by the North Carolina Commissioner of Banks, that does not meet the definition of a Professional
Professional Loan Officer…......................….$150.00
Any individual who does not meet the definition of a Professional Broker Member or Professional Associate Manager, but holds a valid mortgage loan
officer license only issued by the North Carolina Commissioner of Banks or individuals who are employed by a mortgage broker business as a
processor or support staff.
Affiliate Member (Lender/Wholesaler)….…..$425.00
Any wholesaler or lender, in the business of providing funds, directly or indirectly, to mortgage brokers, mortgage bankers, loan officers and/or others
in the mortgage business. Wholesalers and Lenders must designate one principal Affiliate Member.
Associate Affiliate Member...………….…….$150.00
Any individual employed by a wholesaler or lender, in the business of providing funds, directly or indirectly, to mortgage brokers, mortgage bankers,
loan officers and/or others in the mortgage business.
Any individual representing an organization not eligible for Professionals or Affiliate membership; or private individual who has a personal or
professional interest in the mortgage business.
Applicant Information: (Please print) Renewal New Member
Name ____________________________________________ Date of Birth___________ Gender(M/F)____Years in business____
Title _____________________________________________ Email Address_____________________________________________
Company _________________________________________Owner/Manager __________________________________
Address ___________________________________________________________________ Your Legislative District*
or Representative’s Name
City ____________________________________________ State ______ Zip ____________ *(located on back of your voter registration card)
Telephone ( __________ ) ______________________Fax ( __________ ) _______________ NC Senate District #_____________
NC House District #_____________
Preferred Mailing Address _____________________________________________________
City ____________________________________________ State ______Zip ____________ County ___________________
Home Telephone ( __________ ) __________________ Home Fax ( __________ ) ___________________
Referred By: Company:
(New Members Only)
Please split my membership payment into three consecutitive monthly payments (credit card only). I understand and agree that I am
responsible for the full amount. I also understand that my membership in NAMB will not be active until my dues are paid in full.
Payment Method: Check MasterCard Visa Card # ____________________________________________ Exp. Date ______
Card Holder Signature ____________________________________________________________
With this application, you are applying for membership in the NCAMP and the NAMB. Your membership fee pays for membership in both organizations.
I am applying for membership in the NCAMP in the category noted above. I have read the NCAMP Code of Ethics and Bylaws and if accepted for member-
ship, I will abide by their requirements. I also agree to abide by the NAMB Code of Ethics and Professional Standards and Best Lending Practices as they
now exist or may be amended. Additionally, I acknowledge and agree to receive all association information in the form of phone,mail, fax and/or email.
Signature of applicant (Required) ____________________________________________________________ Date _______________
NCAMP is a professional association. Payment of organizational dues is generally deductible as an ordinary and necessary business expense. A portion of dues, however,
is not deductible due to the extent NCAMP and NAMB engage in lobbying. The non-deductible portion of dues for 2010 is estimated at 100%, which includes both NCAMP
and NAMB. Contributions or gifts are generally not deductible as charitable contributions for federal income tax purposes. Federal Law prohibits the deduction from your
taxes that portion of member dues allocated to federal lobbying activities.
N C A M P w e b s i t e : w w w. n c m o r t g a g e professionals. o r g