Membership Application

PRINT Application

Renew Membership


Name: Date:
Business: Title:
Phone: Fax:
Business Address:
 StreetCityZip
       
Cell Phone: Email:
Spouse: Website:
Insurance Company: Contractor License Number:

Member Classification: Builder
Affiliate - affiliated with primary member
Associate - non-builder member
Name of Primary Member

Business Activities (Choose Up to 3)
Choice 1 (choose 1)
Choice 2 (choose 1)
Choice 3 (choose 1)


Annual $ Volume
Residential Dwelling Units
Built in the Past 12 Months

Total Paid Employees

Title

List Two References

Sponsor Name: Sponsor Company:

I agree to abide by the Constitution and By-Laws of the Home Builders Association of Haywood, of the National Association of Home Builders of the United States with which it is affiliated, and of the North Carolina Home Builders Association. A remittance of $425.00 ($175 for Affiliate) representing my annual membership dues to the Home Builders Association of Haywood County will be paid with this application.

Of the amount remitted by me for annual dues, $15.00 is for a subscription for one year to the BUILDER magazine, published monthly, and $10.00 for the Nation’s Building News, published biweekly except July, August and December. This amount cannot be deducted from the total amount.

Note: Membership dues for Affiliate Members are $175.00 per year.

Important Notice:

Dues paid to the North Carolina Home Builders Association (NCHBA) are not tax deductible as charitable contributions for income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities. The NCHBA estimates that the non-deductible portion of your 2010 dues—the portion which is allocable to lobbying—is 25%.

 
Applicant Signature (type your name and license number):



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