Print and Email to info@NJPMO.org or Fax to 201-701-0224
Name: _________________________________________________________________ NMLS # : _______________________
Home Address: _______________________________________ City: ________________________ State: _____ Zip: ________
Please provide Personal and/or Business contact information on where you want NJPMO correspondence sent:
Phone: ____________________________ Fax: ______________________________ Cell: _____________________________
Email: ____________________________________________ Alt. Email : ____________________________________________
Current Employer: __________________________________________________________ Years with current employer: ______
Years in Mortgage Industry: _______________ How did you hear of NJPMO: _________________________________________
Please indicate the type of license held by employer, if any.
Mortgage Broker Correspondent Mortgage Banker Mortgage Banker Federal/State Bank Other
Please specify job position or type of services you provide: ________________________________________________________
Membership Categories and Annual Dues
Each member is allocated one vote.
Professional Mortgage Originator: (“Membership in this classification shall be an individual who is in the business of Originating Mortgage Loans, the Mortgage Broker, and the Independent Mortgage Banker.
Professional serving the Mortgage Industry: (“Membership in this classification shall be an individual who is in the business of perpetuating the continuation of the Professional Mortgage Loan Originator, the Mortgage Broker and the Independent Mortgage Banker and the industry they encompass.
___________ Professional Mortgage Originator (PMO) Membership Annual Fee $100
___________ National Association of Independent Housing Professionals (NAIHP) Membership Annual Fee* $49
___________ Personal Donation to NJPMO $_______________.00
*As most legislative and regulatory actions affect the entire housing industry, NAIHP was created to advocate on behalf of all small business housing professionals LOs, appraisers, title companies, brokers, bankers, real estate professionals, etc. – the basis for the ENTIRE housing industry (www.naihp.org).
Dues Payment Method: Check VISA MASTERCARD
Name on Card: _____________________________________________ Signature: _____________________________________
Card Number: ___________________________________________________V-code: _________ Exp. Date: _______________
I would like automatic annual renewals applied: ___________
Dues payments may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed because of lobbying activities.
Print and Email to info@NJPMO.org or Fax to1-201-701-0224
NJPMO Mission: is to advance the mortgage lending profession through
political advocacy, education, information and ethical practices.