Membership Application Membership dues are $450.00, payable annually. General InformationTitle *(Designated HBA contact)First Name *Last NameBusiness Name *Date *Business Phone: *Mobile Phone:FAX:Email Address: *Business Mailing Address: *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeBusiness InformationMembership Classification: *BuilderAssociateBuilder: *ContractSpeculativeRemodelingCommercialOther(Choose ONE that best fits your business)Other:If "Other," please specify.Associate: *Retail DealerWholesale DealerSub ContractorOther(Choose ONE that best fits your business)Other:If "Other," please specify.Type of Business: *(Brief decription of type of work done)Number of Employees: *What is the primary reason for joining the BCHBA? *Contact Agreeement: *I consent to receive communications from the Brunswick County Home Builders Association.Please DO NOT contact me.** Due to a recent change in the law, we need your signed permission to keep you informed of programs and events that may be of interest to you, for example construction and building code seminars, General Membership Meetings, the Annual Golf Tournament, Parade of Homes or other ways that you can increase your knowledge of your industry and increase your business’s bottom line. Please be assured that your contact information, including email, will be treated with confidentiality. I understand that by providing my mailing address, email address, telephone number, and fax number, I consent to receive communications sent from the Brunswick County Home Builders Association, the NC Home Builders Association and the National Association of Home Builders via US mail, email, telephone or facsimile to those numbers/location specified.Preferred Method of Contact: *PhoneEmailBuilders Mutual Insurance ParticipantYesNoOther insuranceBUILDER APPLICANTS ONLYNOTE:Builder members of the Brunswick County Home Builders Association must have a North Carolina General Contractors' License.Company Name *Anticipated Annual Dollar Volume: *Consent *I agree to abide by the By-Laws and Code of Ethics of the Brunswick County Home Builders Association, the National Association of Home Builders, and the NC Home Builders Association. A remittance of $450.00 representing my annual dues in these Associations accompanies this application. I realize that dues payable to the Brunswick County Home Builders Association are not deductible as charitable contributions for federal tax purposes. However, dues payments may be deductible as ordinary and necessary business expenses, subject to exclusion for lobbying expense. The applicant acknowledges that approval of membership by the Board of Directors is contingent on the information provided in this application. Should any information detailed on this application change during the period of membership, the applicant must advise the association of the change in writing.Submit Application
