Application for Builder Membership

As a member of HBAFC, you become part of a group that invests in the construction trades and allied services. Support the industry that supports your business; please join us!

A Builder Member is classified as any individual who operates or is employed by a firm, partnership, corporation, or other recognized business entity in the business of building, remodeling or land development and holds current credentials required by the state of WI to obtain building permits.

New Member Dues: $375

Membership dues are based on a 12-month period from the month of application.

Company Name *

Primary Representative First Name *

Primary Representative Last Name *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Country

Primary Phone *

Cell Phone

Website

Email *

Required Business Information *

CorporationPartnershipLLCSole Proprietor

FEIN # *

Year Issued *

# of employees (including yourself) *

# of years in business *

Business Directory Category *

WI Dwelling Contractor Credential # *

WI Dwelling Contractor Qualifier Credential # *

Have you ever been a member of Valley Home Builders Association / HBA Fox Cities? *NoYes (list year in the box to the right)

If yes, what year were you last a member?

Are you a current member of another home builders association (HBA)? *NoYes (list association in the box to the right)

If so, which association?

If you are/have been a member of an HBA, have you ever been suspended from membership? *NoYes (list association in the box to the right)

If so, which association?

If you are/have been a member of an HBA, have you ever been terminated from membership? *NoYes (list association in the box to the right)

If so, which association?

Have you owned, operated or done business under another company and/or personal name(s)? *NoYes (list name(s) in the box to the right)

If yes, please include names:

Reason for joining (check all that apply):

To belong to a professional organization/credibilityNetworking opportunitiesParticipate in public events (such as the Parade of Homes)Marketing opportunities - to membersMarketing opportunities - to consumersTo be listed in the online membership directoryAccess to members-only discount program/serviceOther (please list below)

Other:

Membership Dues PaymentPay via check (payments may be made to Home Builders Association of the Fox Cities, Attn: FAO, P.O. Box 12237, Green Bay, WI 54307-2237)Pay via credit card (payment field will populate below upon selection)Payment in full must accompany this application or it will not be processed.

Credit / Debit Card *

I, the undersigned, hereby apply for membership in the Home Builders Association of the Fox Cities (HBAFC). I agree to abide by the provisions of the Code of Ethics & Performance, Policies and Bylaws of the Association throughout the tenure of my membership (copies available upon request). I also agree to receive communications sent by or on behalf of HBAFC to the address, phone number and/ or email listed on this application. I understand that membership in HBAFC shall be effective upon submission of this completed application and tender of first year’s membership dues and applicable fees. If, after review of application, I am found ineligible for membership, a check for the dues amount will be returned to me via US Mail to the business address on this application; the application fee will be retained. I understand that membership is for 12 months and if I am 15 days delinquent on remittance of membership dues, I will be considered resigned as well as any additional employees (if any). In the event of resignation, suspension or termination of membership in HBAFC, I agree to immediately discontinue advertising my membership and use of the HBAFC logo in any form. I agree that in the event of voluntary or mandatory membership termination, HBAFC will not refund any proration of annual dues.

Applicant Signature *