New Member Application

HBANMS New Member Application

To apply for membership please complete all questions.
Step 1 - Membership Type & Contact Information
Membership Type (Required)*

Builder/Remodeler (An entity whose primary business is construction or remodeling): $500Associate (An entity who is engaged in a trade/industry related to building/ remodeling): $500
Payment Frequency (Required)*

Auto renew each yearManually renew each year
Name (Required)*

PrefixFirst NameLast NameSuffix
Job Title (Required)*
E-mail (Required)*
example@example.com
Preferred Street Address (Required)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Street Address Type (Required)*
Preferred Phone Number (Required)*
Other Phone Number
Preferred Phone Type (Required)*
Other Phone Type
Step 2 - Company Information
Company Name (Required)*
Website (Not Required)
Builder or Other Related Occupational License Number (Not Required)
(Ex: MS State Board of Contractors License No., etc.)
Primary Business Activity (Required)*
Business Address (Required if Different from Previous Preferred Address Listed)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload a high resolution logo file here for our online member directory. (Not Required)

Cancelof
Step 3 - Referral Information (Optional)
Referring Member Name
Referring Member Email Address
example@example.com
Step 4 - Payment Information
How would you prefer to pay? (Required)*

Credit/Debit Card Information (Skip this section if not paying via credit/debit card.)

1 Year Membership

$500.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Step 5 - Membership Confirmation
Terms and Conditions

By signing you pledge to adhere to the HBA of North Mississippi’s quality standards, code of ethics, and/or by-laws. Your application is subject to further approval by the HBA of North Mississippi and may require more information. All applications are “pending” until approved by the HBA of North Mississippi. Membership dues payments are not deductible as a charitable contribution for federal income tax purposes. However, membership dues payments may be deductible as ordinary and necessary business expense, subject to exclusion for lobbying activity. Contact HBA of North Mississippi for the portion of membership dues used for lobbying purposes and therefore not deductible for income tax purposes.
I accept the terms and conditions. (Required)*

I accept.
Please verify that you are human. (Required)*
Should be Empty:

HBANMS New Member Application