Membership Application

Membership Application
Membership Type

BuilderAssociate
Company Name
Owner/Applicant Name

First NameLast Name
Phone Number

Area CodePhone Number
Fax

Area CodePhone Number
Cell

Area CodePhone Number
Email
example@example.com
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This address is a residence (if this address is your home, we will NOT publish it without permission)

YesNo
Mailing Address (leave blank if same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does this business have a previous name? (if no, leave blank)

Secondary Contacts

List up to 2 other contacts. For premier members, these are your Affiliates.
Secondary Contact Name

First NameLast Name
Secondary Contact Email
example@example.com
Secondary Contact Phone Number

Area CodePhone Number
Tertiary Contact Name

First NameLast Name
Tertiary Contact Email
example@example.com
Tertiary Contact Phone Number

Area CodePhone Number

Builder Applicant Information

Associates skip this page by clicking next
State Builders License No.
If available, upload a copy of your builders license here

Browse Files

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Membership Type & Payment
BASIC MEMBERSHIP
· HBAM Lobbyist efforts & advocacy
· NAHB Lobbyist efforts & advocacy
· Membership Meetings & HBA Connects
· Booth discounts for the Home & Garden Show
· Members-Only vendor & manufacturing discounts
· Directory, Resource Guide, & HBAS.org listings

PREMIUM MEMBERSHIP
Includes everything in the above Basic Membership PLUS:
· Automatic donation (included in dues) to Friends of Housing
· 2 Affiliate memberships, or 1 Professional Women in Building Membership
· Featured Member in 1 weekly newsletter + Facebook promo
· Admission to Lunch & Learns + Continuing Education seminars
· Featured Employer status on the HBA Construction Careers Website
· Bonus Profile on HBAS website directory page
Payment Options:

Please note that upon payment, your membership will be active for one (1) calendar year, and will renew automatically (an invoice will be sent to you) unless a written ntoice to discontinue is supplied 30 days in advance. Membership dues may be deductible as a business expense. However, dues are not deductible as a charitable contribution for Fenderal Income Tax purposes.
How do you prefer to pay?

Credit/Debit Card or PayPalCheck (payable to HBA Saginaw, deliverable to 3165 Cabaret Tr. S. Saginaw, MI 48603)
My Products
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Basic Membership - Pay in Full$495.00
Basic membership paid in full for 12 consecutive months. Charged annually.

Basic Membership - Payment Plan$50.00
Basic membership payment plan for $50 per month for 12 consecutive months, charged automatically.

Premier Membership - Pay in Full$600.00
Premier membership paid in full for 12 consecutive months. Charged annually.

Premier Membership - Payment Plan$65.00
Premier membership payment plan for $65 per month for 12 consecutive months, charged automatically.

Total $0.00

Agreement
In making this application, I agree to abide by the constitution, bylaws, and code of ethics of the Home Builders Association of Saginaw. In event of termination of my membership of this association, I agree to immediately discontinue use of its logo in any form.

I give the HBA of Saginaw permission to send faxes, emails and letters to the addresses above.

By signing this form electronically, I assure that the given information is true and correct to my best knowledge. I agree to follow the above conditions and any payment plans I have chosen.
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First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Membership Application

Secondary Contacts

About Your Business

NAHB Identification Information

Builder Applicant Information

Membership Type & Payment

Agreement