ETBOA - Eastern Chapter Tennessee Building Official’s Association - Membership Form
Membership Application
TIME TO RENEW YOUR MEMBERSHIP.
Everyone must fill out the below form to secure their membership.
Last Name *
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First Name *
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Email Address *
type N/A if none
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Phone Number *
Like This: (865) 111-1111
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Jurisdiction / Company *
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Your Job Title *
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Street Address *
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City, State, ZIp Code *
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New Member? *
Check yes or No
Required
Payment of Dues
For Building officials, assistant building officials, field inspectors and other municipal, state or county employee actively engaged in the administration and enforcement of building, fire and zoning regulations. ALL DUE FEES WILL BE INVOICED TO YOU VIA EMAIL.
If you are part of an Organization, List the Primary Contact for the Organization
(If Applicable)
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List Your Organizations Voting Members (up to 5)
(If Applicable)
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Associate Dues Enclosed
For organizations, associations, institutes, corporations, partnerships, companies, manufacturers, architects, engineers, builders, contractors, planners and other similar groups. You will be invoiced for all due fees.
Add note to ETBOA officer/secretary
Please include a list of all Members in which the dues are for with your check
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