An Invitation to Join… Home Builders Association of Grayson, Fannin and Cooke Counties, INC. Representing the Interests of the Home Building, Multifamily Construction & Remodeling Industry in North Texas P.O. Box 1421 • Sherman, Texas 75091 • 903.891.1700 www.texomabuilders.com 2010 APPLICATION FOR MEMBERSHIP MEMBERSHIP OBLIGATIONS FOR ALL APPLICANTS I hereby apply for membership in the Home Builders Association Of Grayson, Fannin and Cooke. PAYMENT FOR FIRST YEAR’S DUES IS ENCLOSED. I agree to abide by the Constitution and By-Laws of the Local association to which this application is directed, of the National Association of Home Builders of the United States with which it is affiliated, and of the affiliated State Association if such affiliation exists. 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 can not be deducted from the total amount. PLEASE PRINT: The information below will be printed in HBA records and on your certificate of membership. ___________________________________________________________________________________ Last Name (Mr./Mrs./Ms.) First Name M. I. _____________________________________________________________________________________________________________________________ Company Name – As it is to be listed in HBA records : _____________________________________________________________________________________________________________________________ Business Mailing Address _____________________________________________________________________________________________________________________________ City State Zip ____________________________ ______________________________Fax # is a residence_____ or a business_____ _________________________ Area Code/Telephone Area Code/Fax Number Cell Phone # e-mail #_______________________________________________________________________________________________________________________ PLEASE READ AND SIGN BELOW: I understand that by providing the fax number(s) above, on behalf of the company/organization specified above, I am authorized to and hereby consent for the company/organization to receive faxes sent by or on behalf of HOME BUILDERS ASSOCIATION OF GRAYSON, FANNIN AND COOKE, NATIONAL ASSOCIATION OF HOME BUILDERS (NAHB), AND TEXAS ASSOCIATION OF BUILDERS (TAB). Signature: ____________________________________________________________________Date:______________________________________________ ____________________________________________________________________________ _____________________________________________ Home Address Area Code/Home Telephone _____________________________________________________________________________________________________________________________ City State Zip References: Recommended for Membership By (individual sponsor)____________________________________________ Sponsor Firm: ___________________________________________________________Phone #_________________________ Builder Applicants: 1 Contractor & Bank References Associate Applicants: 1 Contractor & Bank References 1. __________________________________________________________________________________________________ Firm & Contact Name Phone FAX ( Please Complete) ONE BANK REFERENCE (ALL APPLICANTS) ____________________________________________________________________________________________________ Firm & Contact Name Phone FAX ( Please Complete) APPLYING FOR BUILDER, ASSOCIATE & AFFILIATE MEMBERSHIP: An applicant for a Builder Membership must be an individual or company whose owner, or at least one principal thereof, is actively and personally participating in the development of land, or the construction of single-family residences, multifamily housing or commercial structures, or engages as a general or primary contractor in the rebuilding or rehabilitation of residential housing or commercial structures (HBA Bylaws). Please check the appropriate membership category on the back page (which includes $150 to the National Association of Home Builders and $81.50 to the Texas Association of Builders) (Affiliate Member dues include $5.00 to NAHB and $25.00 to TAB). Dues: Builders & Associates $375 plus One Time Application Fee $35 = $410.00 Affiliate Members $100 plus One Time Application Fee $35 = $135.00 (An Affiliate Member is someone who is affiliated with a Builder or an Associate Member that has paid a full membership fee.) PLEASE COMPLETE THE BACK SIDE Form Codes Business Activity Codes: Enter the member’s most important business activities from the list of codes below (enter up to 3 different codes). Note: For “other” associate (code Z), you must fill in The blank for Other business Classification if that member is to receive Builder Magazine. Builder Member Classification Associate Member Classification Subcontractors and Specialty Trade Contractors A Single Family Spec/Tract Building L Accounting W1 Carpentry Work B1 Single Family General Contracting M1 Architecture W2 Electrical Work B2 Single Family Custom Building M2 Engineering W3 Masonry, Stone Work, Tile Setting, C Multifamily Building (Condo/Coop Units) M3 Planner or Designer W4 Landscaping D Multifamily Building/Ownership (Rental Units) N Legal Services W5 Plumbing, Heating and Air Conditioning E Multifamily General Contracting O Computer Products and Services W6 Roofing, Siding and Sheet Metal Work F Remodeling – Residential P1 Commercial Banking/Thrift Institution W7 Painting and Paper Hanging G Remodeling – Commercial P2 Mortgage Banking W8 Floor Laying and Other Floor Work H Commercial Building (Own Account) Q Insurance or Title Company W9 Concrete Work I Commercial General Contracting R Marketing, Advertising or Public Relations WA Excavation Work J Land Development S Building Material Manufacturing WC Land Surveyor K Manufacturing of Modular/Panelized/Log Homes T Property Management WD Security Systems WZ Other Subcontractors (specify) U Real Estate Wholesale Dealers/Distributor Y Utilities X1 Appliances Z Other (specify) Retail Dealers/ Distributor X2 Building Materials/Lumber V1 Appliances X3 Floor Coverings V2 Building Materials/Lumber X4 Paint/Wall Coverings V3 Floor Covering X5 Other Wholesale Dealership (specify) V4 Paint/Wall Coverings V5 Other Retail Dealership (specify) Annual Dollar Volume: Enter the member’s approximate annual dollar volume of new residential construction/development, using the following codes: 0. Under $500,000 2. $1 million to $4,999,999 4. $10 million or over 1. $500,000 to $999,999 3. $5 million to $9,999,999 5. No construction activity Annual Number of residential dwelling units built in past 12 months: Enter the member’s approximated number of units built using the following codes: 1. 0 units 3. 11 to 25 5. 101 to 500 2. 1 to 10 4. 26 to 100 6. Over 500 Total Paid Employees: Enter the total employees in the blanks provided. Include the member in your total figure. Business Title: Enter the code that best describes the member’s business title, using the following codes: 1. President 5. Architect, Designer or Engineer 2. VP/General Manage 6. Financial Manager/Director 3. Construction Superintendent 7. Owner, Principal or Partner 4. Sales and Marketing Manager/Director 8. Other (specify) ALL APPLICANTS PLEASE READ AND SIGN: I have read the Membership Obligations (front page) and Schedule of Dues and fully understand my future responsibilities to the Association. Dues payments to HBA are NOT DEDUCTIBLE AS CHARITABLE contributions for federal income tax purposes. However, dues payments may be deductible as ordinary and necessary business expenses, subject to exclusion for lobbying activity. Because a portion of your dues is used for lobbying by NAHB and TAB, (12% of NAHB dues - $18.00 and 52% of TAB dues - $42.38) THUS, $60.38 is not deductible for 2008. $13.00 of TAB dues from Affiliate Members can not be deducted. Please keep a copy of this for your records. I certify that the information I have provided on this application is correct. Applicant’s Signature________________________________________Title_____________________________________________ Why did you join the HBA? ______________________________________________________________ PAYMENT INFORMATION: □ Check enclosed □ Visa □ Master Card □ American Express □ Discover Card Number ___________________________________________________Exp. Date___________________ CVV2:________________________Signature____________________________________________________ (for credit card authorization) Name (as it appears on card) __________________________________________________________________ Street Address of Cardholder:__________________________________________________________________ ___________________________________ Zip Code:_________________ Amount:____________________ Note: The CVV2 Number will be the 3-digit number on the back of Visa, MC & Discover or the 4-digit number on the front of American Express.
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