Membership Application

California Association of Mortgage Brokers Membership Application
950 Glenn Drive, Suite 150, Folsom, CA 95630
916.448.8236 • 916.448.8237 Fax • info@cambweb.org

Please provide both business and home addresss; indicate where to send your mail. The home address is for grassroots legislative efforts--internal use only.

Contact Information

Fields marked with an * must be completed to submit this form
First Name*
Middle Initial
Last Name*
Title*
Company*
Business Address*
City*
State*	ZIP+4*
Telephone*	Ext.
Fax
E-mail*
Web Site
	Mail to my office. \| Mail to my home.
Home Address
City
State	ZIP+4
Referred by
By checking the box(es) below, I want to: Remove my telephone, fax, and email address from the National Association of Mortgage Brokers (NAMB) database. Opt-out of providing my mailing information to other CAMB members. Remove my contact information (address and telephone) from the online membership directory and consumer referral sections of CAMB’s Web site. Membership Pledge & Authorization By submitting this membership application: I pledge to conduct my business in accordance with the laws, rules, and regulations of the state of California, the federal government, and in accordance with the Code of Ethics, Standards of Practice, Bylaws, and Board policies of the California Association of Mortgage Brokers, and the National Association of Mortgage Brokers, as applicable. I understand that failure to do so may result in the termination of my membership without refund. I authorize CAMB and the local CAMB Chapters to contact me via telephone, fax, email, and mail regarding Association business.

Membership Classification

CAMB membership is individual and owned by the applicant except for Statewide Affiliates. CAMB’s membership year is April 1 to March 31 and is renewable annually. With this application and payment, you are applying for membership in CAMB, which includes membership in a Chapter of your choice and the National Association of Mortgage Brokers (NAMB).
Affiliate $415 per year	An Affiliate member is an individual whose business is other than that of loan origination (e.g., appraiser, bank, title officer, etc.), but who has an interest in supporting mortgage originators in general, and the Association, in particular. Affiliate members do not have voting privileges and may not serve on the State Board of Directors, but may serve on CAMB committees.
Statewide Affiliate (membership year Jan. 1 - Dec. 31) $3,950 per year	Statewide Affiliate members are companies whose business is other than that of loan origination and have a statewide presence. Membership includes two (2) designated representatives within each CAMB chapter in addition to the primary contact at the company’s headquarters office. These members shall have a seat on the Statewide Affiliate Advisory Committee. Primary contact receives membership in NAMB. Designated representatives do not receive a NAMB membership, but NAMB membership may be purchased for an additional $45 for each representative.
By checking the box(es) below, I want to: Remove my telephone, fax, and email address from the National Association of Mortgage Brokers (NAMB) database. Opt-out of providing my mailing information to other CAMB members. Remove my contact information (address and telephone) from the online membership directory and consumer referral sections of CAMB’s Web site. Membership Pledge & Authorization By submitting this membership application: I pledge to conduct my business in accordance with the laws, rules, and regulations of the state of California, the federal government, and in accordance with the Code of Ethics, Standards of Practice, Bylaws, and Board policies of the California Association of Mortgage Brokers, and the National Association of Mortgage Brokers, as applicable. I understand that failure to do so may result in the termination of my membership without refund. I authorize CAMB and the local CAMB Chapters to contact me via telephone, fax, email, and mail regarding Association business.

Foreign Language

I am fluent in (written and verbal)
Chinese
French
Japanese
Korean
Russian
Spanish
Other

Chapter Selection

Please choose one Chapter from the following menu.

The following payment options are available to process your online membership application: VISA, MasterCard, or AMEX