Application for Industry Partner Membership

Company Name *

Primary Representative First Name *

Primary Representative Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Primary Phone

Cell Phone

Email Address

Website

Required Business Information *CorporationPartnershipLLCSole Proprietor

FEIN #

Year Issued

# of employees (including yourself)

# of years in business

Select Primary Category

Select Secondary Categories (You may select up to four additional directory categories that fit your business criteria)Note: if more than four secondary categories are selected the category selections will be made at the discretion of HBA Fox Cities.

Have you ever been a member of Valley Home Builders Association / HBA Fox Cities? *NoYes, list year below

If yes, what year were you last a member?

Are you a current member of another home builders association (HBA)? *NoYes (list below)

If yes, which association?

If you are/have been a member of an HBA, have you ever been suspended from membership? *NoYes (list below)

If yes, which association?

Have you owned, operated or done business under another company and/or personal name(s)? *NoYes (list below)

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, 920 W. Association Dr., Appleton, WI 54914)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 *

Application for Industry Partner 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!

New Member Dues: $505
($475/year + one-time $30 application fee)

Application for Industry Partner 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!

New Member Dues: $505($475/year + one-time $30 application fee)

New Member Dues: $505
($475/year + one-time $30 application fee)