WESTERN NEW YORK REAL ESTATE INVESTORS ASSOCIATION, INC.

8665 SHERIDAN DR WILLIAMSVILLE NY 14221

800-914-1178

tom@nypropertyinsurance.com  

MEMBERSHIP APPLICATION

PLEASE PRINT AND ANSWER ALL QUESTIONS  

NAME ________________________________________________________________________

IF JOINT MEMBERSHIP SPOUSE NAME ________________________________________

ADDRESS ____________________________________________________________________

CITY ________________________ ZIP _____________ HOME PHONE ________________

BUSINESS PHONE ____________________________ EMAIL ________________________

EMPLOYER___________________________________ POSITION ____________________

DO YOU OWN INVESTMENT PROPERTY? _______ HOW MANY UNITS? _________

WHAT TOPICS WOULD YOU LIKE TO HEAR ABOUT AT OUR MEETINGS? ______________________________________________________________________________

AT THIS TIME ARE THERE ANY PRODUCTS, SERVICE OR VENDORS THAT YOU WOULD LIKE TO RECOMMEND TO THE MEMBERSHIP? ______________________________________________________________________________

HOW DID YOU HEAR ABOUT WESTERN N. Y. REAL ESTATE INVESTORS?
[ ] HOME FINDER     [ ] WNYREIA, INC. NEWSLETTER
[ ] ANOTHER MEMBER, WHO?__________________ [ ] OTHER_____________

CHECK AMOUNT ENCLOSED
[  ] $75 SINGLE MEMBERSHIP
[  ] $95 HUSBAND AND WIFE MEMBERSHIP
[  ] $10 INITIATION FEE
[  ] $10 GUEST FEE APPLIED TOWARD MEMBERSHIP MAKE CHECK PAYABLE TO W.N.Y.R.E.I.A. INC.

METHOD OF PAYMENT  [  ]  CASH  [  ] CHECK # _________ [  ] CREDIT CARD MASTER CARD/V1SA #________________________________________ EXP DATE______ TOTAL AMOUNT ENCLOSED $__________________

W.N.Y.R.E.I.A., Inc. is designed to provide a basic understanding of the principles of Real Estate Investing. Neither WNYREIA, nor any speakers are engaged in rendering any legal, accounting, or other professional advice or services. If legal or other expert assistance is required, the services of a competent professional person should be sought.

W.N.Y.R.E.I.A., INC. IS A NON-PROFIT GROUP, UNITED IN A COMMON BOND, DEDICATED TO EDUCATING AND MOTIVATING ITS MEMBERS IN SUCCESSFUL REAL ESTATE INVESTMENT. Date: _______ Print Name ___________________________ Signature: ___________________