2015 MEMBERSHIP APPLICATION
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1 2015 MEMBERSHIP APPLICATION Membership in East Bay CREW is available to anyone who is employed full-time in a professional position; the primary responsibilities are in a qualified field of commercial real estate. East Bay CREW is a chapter of CREW Network, which provides our members with the benefits of our affiliation with the more than 70 chapters in North America. Full Name: Current Employment: PROFESSIONAL INFORMATION Company/Firm Name: Length of Employment: Number of Professional Employees: Company/Firm Web Site: Company s/firm s Areas of Practice: Geographic Areas of Work: Job Description / How Related to Commercial Real Estate: Previous Employment: (if less than 5 years in current position) Company/Firm Name: Job Description / How Related to Commercial Real Estate: Length of Employment: Choose One: EAST BAY CREW MEMBERSHIP INFORMATION General Member (at least 5 consecutive years full-time commercial real estate experience) Associate Member (less than 5, but more than 2, consecutive years full-time commercial real estate experience)* Candidate Member (less than 2 consecutive years full-time commercial real estate experience)* Affiliate Member (at least 5 consecutive years full-time experience in a profession which supplies service or physical products related to commercial real estate (roofing, carpeting, landscaping, painting, office furniture, etc.).* Civic (involved in local or regional government, other public agencies, universities or other education institutions or not-for-profit organizations related to commercial real estate)* Student (enrolled full-time in an undergraduate college or university program pursuing education intended to lead to a career in commercial real estate). Retired (Individual must be retired from a qualifying field of commercial real estate and have met the qualifications for either General Membership or Associate Membership prior to his/her retirement from commercial real estate). * Associate and Affiliate members combined are limited to 25% of membership. You will be placed on a waiting list if there are no current openings. List three reasons for desiring membership in East Bay CREW: List two East Bay CREW members who will sponsor you: 1. 2.
2 I am interested in being a sponsor of East Bay CREW. I am interested in joining the following committee: Marketing CREW Cares/ Industry Rel. ECHO Awards Membership Programs Sponsorship Signature Date Return application, resume/bio and payment to: East Bay CREW 1201 Wakarusa Dr, Ste D, Lawrence, KS Fax: Make check payable to East Bay CREW Your application will be reviewed by the membership committee and Board of Directors. Membership in CREW Network / its Chapters is NON- TRANSFERRABLE and belongs to the individual. Dues paid to CREW Network and its Chapters are not deductible as charitable contributions for Federal income tax purposes, but may be deductible as a business expense. CREW Network TAX ID: VISA, MasterCard, American Express or Discover Card Holder Account Number Expiration Date Signature 2
3 2015 MEMBERSHIP SUPPLEMENTAL INFORMATION Membership fees for 2015 are as follows: East Bay CREW Dues through 12/31/15 $ CREW Network Dues through 12/31/15 $ Total $ East Bay CREW Dues through 12/31/15 $ CREW Network Dues through 12/31/15 $ Total $ For Membership Applications Received After June 30, 2015 East Bay CREW Dues through 12/31/15 $85.00 East Bay CREW One Time Application Fee $25.00 Total $ East Bay CREW Dues through 12/31/15 $65.00 Total $
4 For Membership Applications Received After November 1, Month Membership East Bay CREW Dues through 12/31/16 $ CREW Network Dues through 12/31/16 $ East Bay CREW One Time Application Fee $25.00 Total $ East Bay CREW Dues through 12/31/15 $ CREW Network Dues through 12/31/15 $ Total $ *Individuals who are paid members of another CREW chapter are only required to pay a $25 administrative fee to CREW Network in addition to the East Bay CREW dues ($140/$85). 4
5 CREW Network Member Data *Required Fields *First Name: Middle: *Last Name: Prefix: (Ms., Mrs., Mr.,Dr.,) Title: Nickname: Tag: (MAI, JD, CPA,) *Years of Experience in Commercial Real Estate: *Company: *Address: *City: *State/Province: *Zip/Postal Code: * Cell Phone: *Business Phone: Direct Dial: Fax: *Specialty (select ONE from below): Qualified Fields of Commercial Real Estate: Accounting Acquisitions / Dispositions Administration Appraisal Architecture Asset Management Brokerage Business Development Commercial Insurance Commercial Lending Construction, General Construction, Management Consulting, Commercial Real Estate Corporate Real Estate Cost Segregation Economic Development Education Engineering Environmental Planning Facility Management Finance Interior Design /Space Planning Investment Management Investor Relations Land Use Planning / Zoning Law Market Research Marketing & PR, Commercial Real Estate Personnel/HR Program / Project Management Property Management Public Sector Quasi-Governmental Transportation / Port Authorities Real Estate Development Relocation Services, Corporate Risk Management Title/Escrow Affiliate Fields of Commercial Real Estate: Construction Subcontracting Property Maintenance Other Commercial Real Estate Affiliations (circle): BOMA ICSC IREM NAIOP AI CCIM ULI CORENET SIOR *OTHERS: *You may list others, but only those above will be indexed. Optional Fields: Gender: F M Secondary Company: Race Home Phone: Secondary Address/Phone: Home Address: FOR CREW NETWORK USE ONLY: New Member: Y N Chapter Category Inaugural Year Approval Authorized By On: / _/ CREW Network to Invoice? Y N $ Membership Expiration Date: 12/31/ 5
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