Mobile Home Park Owners - Developers Association
To join this Association, you may print this application and send it with your annual dues to: Attn: Pattie Daly 363 St. John Church Rd. Goldsboro, NC 27534.
Name of Applicant: ______________________________________________________
Full Mailing Address:_____________________________________________________
Phone Number: (Home) ______________________ (Cell) _____________________
E-mail Address: _______________________________________________________
Are you a Mobile Home Park (MHP) Owner? _____ How many parks do you own? _____
Are you a MHP Manager? _____ Number of parks managed? _____
Name of Mobile Home Park(s) that you own or manage and their location:
(Use back side of application if you need more space).
NAME & LOCATION SIZE
(Example: 10 acres with 15 lots)
Do you have someone else that operates/manages your park and will represent you on this Association? If yes, please provide their name_________________________________
What do you hope to see achieved by this Association?___________________________
Does your park(s) have to operate under city or county rules or both?
Are you willing to be an ACTIVE member of this association?
(i.e. attend meetings, work on committees, etc.)
Do you currently hold a position in the Association? If not, what committee would you like to work on?
If you are not a park owner, what is your profession and affiliation with this Association?
I agree to abide by the Association By-laws and to pay annual dues of $ _____
Applicants Signature: ___________________________________________________
This section is reserved for the Membership Committee & Association Officers.
Based on By-Laws and information provided in the application what type member is the applicant?
1. Member: ______ (park owner or manager)
2. Affiliate Member: ______ (like business interests, etc.)
3. Public Service Members: _______ (public utilities & services, etc.) (non-voting)
4. Honorary Member: _______ (notable service, etc.) (non-voting)
Recommended to serve on the ___________________________________Committee.
Received Annual Dues of $ ____________ Date Received: _________________
Approved by Membership Committee: _________________ Approval Date: ________________
Membership Number: _________________________
Note: membership number will start with a 1,2,3, or 4 based on type of member shown above. After that, the second number will be 001, 002, etc.
Last revision of application form: 10/08/2013