1 Division & Organization Name2 Contact Details3 Industry Category4 Additional InformationDivision of MHI*What Division of the Manufactured Housing Industry is your company in?Please select your divisionRetailersDevelopers/Community OwnersFinancial ServicesManufacturersSuppliersCompany Name*Certified Representative* First Last Title*Alternate Representative First Last Title Business Address*This is the business address of the CERTIFIED REPRESENTATIVE Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneFaxEmail Enter Email Confirm Email Website CMHI MISSION STATEMENTThe California Manufactured Housing Institute is a non-profit professional and trade association representing builders of factory constructed homes, retailers, financial services, developers and community owners and their supplier companies. The institute (CMHI) was founded to advance the availability of factory constructed homes by promoting the sale of factory constructed housing and the development of desirable sites and communities in California.All are per year (annual), unless otherwise denoted.Retailers Member Fee* Price: $300.00 Manufacturers Membership Fee* Price: $500.00 Suppliers Membership Fee*Please click here and select appropriate levelSales < $2 million/yearSales > $2 million/yearDevelopers/Community Owners*Please click here & select the appropriate choiceDevelopersCommunity Owners (1 to 249 Spaces)Community Owners (** 250+ Spaces)Financial Services Membership Fee* Price: $500.00 Manufacturers Operational DetailsHow many additional plants does the company have? One Two ThreeMonthly Dues $200 per home shipped monthly within or to California ($75 per park model)** A “home” is defined as single OR multi-section manufactured homes built to the HUD Code or any other state code; a modular home built to the UBC Code or any other state or local code; a “commercial unit” built to either state or local codes and park models.BRANCH FEESAll correspondence is sent to member company certified representatives. Additionally, general correspondence (that which is not certified representative specific) may be sent to additional employees or locations (branches) of the parent company upon approval of the certified representative for an annual fee of $120 per employee/location (branch). Price: $120.00 Quantity: Retailer's Authorization*We have the Manufacturer's AuthorizationWe are in the process of obtaining the Manufacturer's AuthorizationUpload Retailer's Authorization Drop files here or Accepted file types: pdf, doc, jpg, png, .Professional License Type:*Professional License #:*Professional License:Professional License: Additional InformationType of Business Entity*C CorporationS CorporationL.L.C.L.L.P.General PartnershipSole ProprietorshipOwner(s) Name(s)Slot One First Last Owner(s) Name(s) First Last Slot TwoOwner(s) Name(s) First Last Owner(s) Name(s) First Last Owner(s) Name(s) First Last If CorporationIf Corporation -cont-All Applicants—Briefly describe your company’s activities and list all locations from which you do business:SIGNATURE OF CERTIFIED REPRESENTATIVE*Were You Referred by Another CMHI Member*YesNoPlease Share the Name of the Referring Member First Last Business Name Method of PaymentPlease select preferred method of paymentCheckCredit CardPlease select the payment method you would like to use to submit your membership fee.CMHI Membership Fee Total $0.00 CAPTCHAPlease take a moment to verify that you're a human being. This iframe contains the logic required to handle Ajax powered Gravity Forms.