How many full-time employees do you have? ______    How many are licensed title producers? ______

Telephone ___________________________ Fax _________________________

E-Mail____________________________________________________

Website ___________________________________(Allows others to link from our website to yours.)

MEMBERSHIP TYPE AND ANNUAL DUES

Active Membership (Class A) (see attached for qualifications)
$400 Corporate – e.g., title company, title insurance underwriter
$200 Individual – holds a Title Producer license – earns CE credit
$175 CLTP Designee – must be a CLTP applicant or designee 

Individuals check one: Please let us know if you consider yourself a title insurance company owner/employee ___
or-----a TIPIC (title insurance producer independent contractor).  TIPIC ____

Associate Membership (Class B) (see attached for qualifications)
$350 Corporate (not a title co.) – does not hold a Title Producer license
$150 Individual – not licensed; no CE credit can be earned by persons in this category

New members only: Please note that membership dues will be prorated each quarter if you join for the remainder of this current membership year (2011-12), plus the next (2012-13). To establish eligibility and take advantage of this offer, contact: 888-601-MLTA or mlta@mdlta.com.

$25 each Services Directory Listing (complete the “Services Listing” section below)

TOTAL DUE: $________
Please include a separate check or credit card payment for:
Political Action Committee (MLTA PAC) Voluntary Contribution of $25/50/$100 or more

____ I have enclosed a _____ Company Check or ______ Bank Check/Money Order (no personal checks will be accepted) made payable to the Maryland Land Title Association in the amount of the Total Due
OR
____ I have paid the Total Due by credit card (on-line) using Pay Pal. I paid by credit card using my/another e-mail
address ________________________________on (date)___________________. (To pay by credit card, visit www.Paypal.com and use the function “Send Money” to our e-mail address: MLTA@MDLTA.com. Then, fax this completed form to 804-794-0248. No PayPal receipts and no cover sheet, please.).
A portion of your dues may be tax deductible. Please contact your accountant or tax attorney for more information.
Applicant agrees to subscribe to the Code of Ethics of the MLTA and to be governed by its By-Laws.
Applicant’s Signature _________________________________ Title ______________________ Date ____________

MLTA 1700 King William Woods Road      Midlothian, VA 23113    888-601-MLTA   Fax 804-794-0248

Member Contact

Active Corporate members: designate one primary and one alternate individual authorized to vote on your company’s behalf:  PRIMARY: ________________________________ ALTERNATE _______________________________.  Please note that the Primary Contact will be the only individual in your organization to receive ballots, proxies, and notices of meetings.

If there are other employees in your company who would like to receive notification of MLTA news and events, please provide their names and e-mail addresses on a separate page.

A Few Questions: Please answer ALL 10.

1. Do you know that MLTA has job postings (free for members) on its website?  ____yes ____no

2. Are you interested in becoming an MLTA Certified Land Title Professional?    ____yes   ____no   ____maybe

3. Do you know that MLTA has a presence in Annapolis where we are in ongoing discussion with the State legislators regarding laws affecting the title industry? ____ yes _____ no

4. Are you aware of our successes both in Annapolis and in the Courts of the State of Maryland with regard to legal issues affecting the title industry? ____ yes _____ no

5. Do you know that MLTA Pre-licensing class attendees have a higher pass-rate for the MD title producer licensing exam than attendees of pre-licensing courses given by any other provider?    ____yes  ____no

6. Are you aware that our Industry Enhancement Committee has been working with the MIA to establish the Consumer Bill of Rights mandated by the Commission to Study the Title Industry?  ____yes  ____no

7. Do you know that the MLTA 2012 Fall Convention will be held in Ocean City?    ____yes  ____no

8. Do you know that MLTA has at least 17 hours of take home credit classes available at all times, including the 3 hours of required Ethics credit? ____yes ____no

9. Do you know that MLTA is on Facebook? ____yes ____no

10. a. and b. The Technology Committee is exploring expanding into various other social networking sites. Please tell us if you participate in a particular site, and let us know which one/s you would use for business contact.
____I do not/would not use a social networking site. I use or would use these sites: ___________________ _____________________________ _______________________________

MEMBERSHIP DIRECTORY

Membership in MLTA entitles you to one free listing in the online Membership Directory. If you do not wish to be listed in the free, online Membership Directory, check here: ___

Corporate Members may list branch offices in our online Membership Directory. Listed offices will receive membership mailings and e-mails, except those that require the member company to vote on an MLTA membership issue.
If additional space is required, please provide the requested information on a separate page.

Additional Contact: _____________________________________________________________________________

Address: _____________________________________________________________________________________

City: ______________________ County____________________ State: ___________ Zip____________

Telephone: ______________________________ E-Mail: ______________________________________________

Fax: _________________________ Website: _______________________________________________

_____ Please include a Membership Plaque for this location (fee: $40.00)

MLTA
1700 King William Woods Road      Midlothian, VA 23113
888-601-MLTA
Fax 804-794-0248

SERVICES DIRECTORY LISTING

For an additional fee of $25 per service, members may be listed in MLTA’s on-line Services Directory, which is made available to encourage our members to do business with other members. Please indicate below the service category, if any, under which you wish to be listed:

_____ Abstracting      _____ Mortgage Lending

_____ Document Recording     _____ Real Estate Sales

_____ E & O Insurance      _____ Settlement Services

_____ Fidelity/Surety Bonds    _____ Settlement Software

_____ Land Surveying      _____ Title Insurance

Please indicate the county(ies) where you offer the service/s:

______________________________________________________________________________________________

______________________________________________________________________________________________

You may include a brief description of your product, service, or company:

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Each listing above is $25 – Please add this to the total on the first page.

COMMITTEE SIGN-UP

Your association can be successful only if its members are active in supporting its activities. We are currently appointing members to committees, and ask that you consider serving on at least one committee this coming year. Some committees are limited as to the number of members; but, if space permits, your participation would be appreciated.

Yes, I wish to be actively involved in our association by serving on the following committee(s):

_____ Legislative  _____ Convention  _____ Technology  _____ Education

_____ Membership    _____ Industry Enhancement _____ Chapters
 ______TIPIC subcommittee

_____ CLTP (Certified Land Title Professional) – must hold the MLTA CLTP designation

Regional Chapters:

_____ Southern Maryland Chapter (If you work in Calvert, Charles, Prince George’s, or St. Mary’s Counties)

Committee Member’s Name: ___________________________________________

E-mail Address: __________________________ Phone: _____________________

If additional members of your company would like to serve on a committee, please provide this same information on a separate page.

Please return your completed membership application to: MLTA
1700 King William Woods Road     Midlothian, VA 23113       888-601-MLTA  Fax 804-794-0248 mlta@mdlta.com
 

Membership Classes and Types: Definitions
Membership shall run from Nov. 1, 2011 thru Oct. 31, 2012

MEMBERSHIP CLASSES
Active Membership (Class A)
Limited to persons, sole proprietorships, partnerships, corporations or other business entities qualified or licensed in, and actively engaged in, the land title evidencing business in the State of Maryland. In general, Active Membership is limited to those persons or entities that provide abstracting or title examination services, or who issue or insure policies of title insurance. For licensed Active members, a copy of the Insurance Producer License issued in the name of the Applicant must be included with this application. This definition includes providing closing services.

Associate Membership (Class B)
Limited to persons, sole proprietorships, partnerships, corporations, or other business entities that are engaged in any trade, industry, or profession related to land title evidencing within the territorial jurisdiction of this corporation. Services provided by Associate Members include, but are not limited to, independent real estate closing services, surveying, mortgage brokering, real estate sales, real estate software sales, and offering errors and omissions/professional liability insurance or bonding protection. Associate members shall not have a vote in the corporation’s affairs.

MEMBERSHIP TYPES
Title Insurance Underwriter
Limited to business entities that hold a current Certificate of Authorization issued by the Maryland Insurance Administration authorizing the entity to act as a title insurer in this State.

Corporate
Limited to business entities whose employees are actively engaged in abstracting, examining, or issuing policies of title insurance on lands situated in the State of Maryland or in any trade, industry or profession related to land title evidencing. A Corporate Membership will allow employees and officers of the business entity to obtain educational and other member services at the discounted member rate, if any.

Individual
An individual engaged in abstracting, examining, or issuing policies of title insurance on lands situated in the State of Maryland, or who is engaged in any trade, industry or profession related to land title evidencing. Individual members may obtain educational and other services at the discounted member rate, if any.

CLTP Designee
An individual Active Member who has been designated as a “Certified Land Title Professional” by the MLTA. CLTP members enjoy educational and other services at applicable discounted membership rates, plus other benefits available only to CLTP designees. All CLTP designees are listed on our website: www.MDLTA.org.