Application for NARI-HIC of Staten Island Membership

Note: All fields are required!

Type of Membership:

General Membership
— Provides a service for the homeowner and is licensed(if required). Annual dues are $510

Associate membership
— Provides a product or service primarily to the home improvement industry. Annual dues are $460

Affiliate membership
— Provides a product or service but not primarily to the home improvement industry. Annual dues are $410

All Applicants:

Please check one:

Corp LLC Partnership Individual

Firm Name: Email Address:

Street Address: City:

State: Zip Code:

Phone: Contact Name:

Date Established: Primary Business:

Territory: Owner's Name:

Firm's Principals(Names & Titles) Firm's NARI-HIC Representative: (Name & Title):

General Membership Applicants Only:

Number of Employees(both full time/part time): License Type, Date of Issuance, Area of Jurisdiction:

NARI-Home Improvement Contractors Association of Staten Island
888 Huguenot Ave., Staten Island, New York 10312 — (718)356-2323