Walker County Home Builders Association
P.O. Box 3101 Jasper, Alabama 35502-3101
Email: Website: www.walkercountyhba.org/hba/
Application for Membership 2016 (check all that apply)
· Annual Membership Dues: $425
· Alabama Builders’ Political Action Committee: $50 (optional)
TOTAL PAID: $______
Company Name: ______
Name of Company Contact: ______Title: ______
Business Address: ______City:______
Mailing Address: ______City:______
Business Phone: ______Cell Phone: ______
Fax: ______Email (for receiving newsletter): ______
Company Website(if applicable): ______Years in Business: ______
Services or Products that you provide: ______
Business References: 1)______Phone: ______
2)______Phone: ______
Bank Reference: ______Branch: ______
Are you a U.S. citizen? ______
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Membership Classification: Please refer to codes on the next page
Please check one: BUILDER Business Activities for Builder & Associates
ASSOCIATE Primary #__ __ Secondary # __ __ Tertiary(third)# __ __
I agree to abide by the Constitution and By-Laws of the Local Association to which this membership application is directed, of the
National Association of Home Builders (NAHB) of the United States with which it is affiliated, and of the affiliated State Association (HBAA). A remittance of $______representing my Annual Membership Dues in the affiliated association accompanies this application. ALL APPLICATIONS ARE SUBJECT TO APPROVAL BY THE WCHBA BOARD OF DIRECTORS.
PRINT FULL NAME: ______SIGNATURE: ______
COMPANY NAME: ______DATE: ______
SPONSORED BY/Member who recommended you: ______DATE: ______
Page 2
NAHB MEMBERSHIP CODES
Business Activity Codes: Enter the Member’s Primary(1st), Secondary(2nd), & Tertiary(3rd)
Business Activities in the three sets of boxes provided on page 1.
Builder Member Activity Codes / Associate Member Activity Codes / Sub-Contractors & Specialty CodesA Single Family Spec/Tract Building L Accounting W1 Carpenter Work
B1 Single Family General Contracting M1 Architecture W2 Electrical Work
B2 Single Family Custom Family M2 Engineering W3 Masonry, Stone, Tile
C Multifamily Building(Condo) M3 Planner or Designer W4 Landscaping
D Multifamily Building/Owner(Rental Unit) N Legal Services W5 Plumbing, HVAC
E Multifamily General Contracting O Computer Products/Services W6 Roofing, Siding, Sheet Metal
F Remodeling-Residential P1 Commercial Banking W7 Painting/Paper Hanging
G Remodeling-Commercial P2 Mortgage Banking W8 Floor Laying
H Commercial Building(Own Acct) Q Insurance/Title Co. W9 Concrete Work
I Commercial General Contracting R Marketing/Advertising/PR WA Excavation Work
J Land Development S Building Material Manufacturing WC Land Surveyor
K Manufacturing of Modular Log Homes T Property Management WD Security Systems
Wholesale Dealers/ Distributors / Retail Dealers/ DistributorsX1 Appliances V1 Appliances
X2 Building Materials/ Lumber V2 Building Materials/ Lumber
X3 Floor Coverings V3 Floor Coverings
X4 Paint/ Wall Coverings V4 Paint/ Wall Coverings
X5 Other Wholesale Dealerships V5 Other Wholesale Dealerships
You may mail application to: Frank Wright, President of WCHBA
29 Maple Road
Jasper, AL 35501
` -or-
Walker County Home Builders Association
P.O. Box 3101
Jasper, AL 35502
NOTE: Of the amount submitted, $425 annual membership covers one person’s membership to national, state and local association and also includes meal at the monthly meetings. One meal is provided at specified meetings. Approximately half of the $425 is designated for association dues, the remaining towards meals, therefore non-deductible tax items. All dues are non-refundable