GMLA Membership Application

IMPORTANT: To view all membership fee options please select "Industry Role/Company Type" from the drop down list under the Membership Application Details section. After you select your company type the rest of the application including membership fee information will be shown. You may select from the drop down at any time.

BASIC INFORMATION

Today's Date *

- Month - Day Year

New or Renewal Membership *

Primary Member Name: *

First Name Last Name

Primary Member E-mail: *

Company Name: *

Street Address & Suite Number: *

City: *

State: *

Zip: *

Membership Application Details

Industry Role/Company Type: *

Please check all that apply to your company: *

Retail Only Lender Wholesale & Retail Lender Wholesale Only Lender Correspondent Lender Primarily Servicing

Mortgage Products Offered (check all that apply): *

Mortgage Products Offered By Mortgage Broker Company (check all that apply): *

Conventional Conforming Conventional Jumbo FHA Loans VA Loans FHA Reverse Non-QM Loans Commercial Loans Hard Money Loans Private Investor Loans

Please check states in which you conduct business: *

Company Operations Data (check all that apply): *

In House Loan Processors Outsourced Loan Processing In House Quality Control Outsourced Quality Control In House Compliance Personnel Outsourced Compliance Services In House Loan Underwriting Outsourced Loan Underwriting

Please check item(s) that best describe your services: *

Please list government agency name and address: *

Please list Non-Profit name and address: *

Select Membership Based On Number of Company Employees domiciled in any of the 12 states GMLA operates: *

Mortgage Lending Company Tier 1F 0 to 4 Employees $ 250.00

Mortgage Lending Company Tier 1E 5 to 10 Employees $ 500.00

Mortgage Lending CompanyTier 1D 11 to 24 Employees $ 1,000.00

Mortgage Lending Company Tier 1C 25 to 49 Employees $ 1,500.00

Mortgage Lending Company Tier 1B 50 to 74 Employees $ 2,000.00

Mortgage Lending Company Tier 1A 75 or more Employees $ 2,500.00

Affiliate Membership Tier 1C 0 to 9 Employees $ 500.00

Affiliate Membership Tier 1B 10 to 24 Employees $ 750.00

Affiliate Membership Tier 1A 25 or more Employees $ 1,000.00

Local, State Or Federal Agency $ 500.00

Non-Profits or Trade Association $ 250.00

Individual Mortgage Loan Originator $ 250.00

Individual Account Representative $ 300.00

Payment Method

	What is PayPal?

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please check below to indicate your acceptance of the following GMLA membership requirements: *

I/We agree to the GMLA Code of Ethics I/We agree to accept emails from the GMLA