I. D. A HOUSE DISASTER INTERNATIONAL, LLC MEMBERSHIP AGREEMENT Primary Property Owner's Name * First Last Secondary Property Owner's Name First Last Email Address * Phone * Property Address Establishment — Select — Home Business Non-profit Other Organization Name (if applicable) Insurance Co: Policy No: Agent: Size of Property List how many of each room are on your property Square footage of property Living/Bonus Rooms — Select — 0 1 2 3 4 5 6 7 8 More Dining Rooms — Select — 0 1 2 3 4 5 6 7 8 More Kitchens — Select — 0 1 2 3 4 5 6 7 8 More Bedrooms — Select — 0 1 2 3 4 5 6 7 8 More Bathrooms — Select — 0 1 2 3 4 5 6 7 8 More Hallways — Select — 0 1 2 3 4 5 6 7 8 More Laundry Rooms — Select — 0 1 2 3 4 5 6 7 8 More Offices — Select — 0 1 2 3 4 5 6 7 8 More Home Theater — Select — 0 1 2 3 4 5 6 7 8 More Home Theater or Media Room — Select — 0 1 2 3 4 5 6 7 8 More Linen Closets — Select — 0 1 2 3 4 5 6 7 8 More Garages — Select — 0 1 2 3 4 5 6 7 8 More Patios/Decks — Select — 0 1 2 3 4 5 6 7 8 More Sheds/Outdoor Buildings — Select — 0 1 2 3 4 5 6 7 8 More Comments (1) I agree to join IDAHI disaster membership program, and to abide by all its policies and procedures. (2) I understand this is a yearly membership, and I will be automatically be billed upon my renewal date unless I notify IDAHI in writing, canceling my membership. (3) I understand that any and all materials and the use of IDAHI disaster membership program are nontransferable and are the sole ownership of IDAHI. (4) I agree not to give any information or a copy of any material provided to me to anyone without permission from IDAHI. (5) I agree to complete my pre-inventory within the first year of my membership unless I am faced with a disaster. (6) I understand it is my responsibility to maintain a copy of my inventory until I have to file an insurance or FEMA claim. (7) I agree to notify IDAHI within 3 business days if I need to file a claim against my homeowner’s insurance or FEMA. (8) I agree not to sign any contracts with any contractors, public adjusters or attorneys pertaining to a claim until I have discussed the incident with an IDAH. (9) I agree to provide IDAHI with the name of my beneficiary if I am unable to respond due to an emergency or disaster situation. (10) I agree to pay IDAH Ia 10% commission if and when they have to assist me with completing my personal property list. (10b) I understand IDAHI can not represent me in any legal capacity, and their main duty under the provisions of this agreement is to assist me in the completion of my personal property inventory list. (11) I understand and agree if I only have a personal property claim, I will pay IDAHI 5% if I have to file a personal property claim. (12) I agree to allow IDAHI Ito provide emergency ID to up to 3 families and myself. Each member will receive (a) 2 ID cards (b) 2 ID tags (c) 1 brass whistle. (13) I agree this agreement is a legal and binding contract. (14) I acknowledge that I am of sound mind to enter into this agreement with I.D. A House International. * Yes Property Owner/Representative: By typing in your name in this field, you are agreeing to the membership form above. Date / Time
