Membership Application


Copy link below for Membership Form:

https://secureservercdn.net/166.62.109.21/vhj.c2f.myftpupload.com/wp-content/uploads/2020/03/membership-app-2020doc.pdf

NAME:

ADDRESS:

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(Last) (First) (M. I.)

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(Street/P.O. Box)

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(City) (State) (Zip) TELEPHONE NUMBER______________________FAX NUMBER_______________________ E-MAIL ADDRESS: __________________________________________________________ Date _____________________

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MEMBERSHIP DUES:

( ) Active Member (Public Officials ONLY): ( ) Associate Member (Private Associates):
( ) Retired/Lifetime Member:
( ) Active members 5 or more

$30.00

$50.00 No Charge

$150 $250

( ) Associate Members 5 or more

Make Checks Payable To:

Upper East Tennessee Chapter, Building Officials Assoc. or UETBOA

Mail or Email To:

Daniel Webb – Treasurer City Of Kingsport
225 W. Center Street Kingsport Tn. 37660 
danielwebb@kingsporttn.gov