JOIN TODAY Please fill out the application below and submit. You will need to submit Membership Dues to:1223 Merchants WayStatesboro, GA 30458 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Membership Application"Building a Better Community in Bulloch County"Congratulations on your decision to join the Home Builders Association of Statesboro. Please read all information within this application carefully and complete all applicable questions. A completed application is necessary in order to process your membership. If you have questions, please contact us.Section 1: Applicant InformationCompany Name *Name *FirstLastMailing AddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Birth Year *FaxCell PhoneWeb AddressSection 2: Membership ClassificationBuilder MemberAssociate MemberPrimary Business ActivitySection 3: Sponsor InformationWho recruited/recommended you for membership?Company:Section 4: Membership DuesBuilder Membership - $500.00Associate Membership - $500.00Affiliate Member - $275.00B-PAC Contribution - $25.00The Builders Political Action Committee (B-PAC) of the Home Builders Association of Georgia works through contributions to state and local candidates to impact the political process.Total Due:Please add up the total and make check payable to Home Builders Association of Statesboro. Membership is added upon receipt of application form and dues payment.Note: Dues Payments to the Home Builders Association of Statesboro 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 an exclusion for lobbying activity. Because a portion of your dues is used for lobbying by NAHB and HBAG, $111.48 for Builder and Association members and $19.50 for Affiliate members is not deductible for income tax purposes.Section 5: Builder/Associate Member IdentificationPlease complete all 11 sections- if requested date for a block is not applicable, leave empty.1. Builder applicants Enter 1 below, Associate Applicants Enter 2 below: * If other is selected, please category:2. Enter Your Primary Business Activity Code (A-Z) from selection above. If your Code has a letter and a number (example: V3 or X5, include both below). If you do not see the appropriate code listed for your business, please supply one in the space provided in category “Z” below. *3. Enter your second business activity below using the selection above. *4. Enter your third business activity below. If a code has a letter and a number, include the entire code in the one block (ex. V3). *5. Enter your annual dollar volume of all construction/development using the following codes: *1) Under $1 million2) $1 million to $5 million3) $5 million to $10 million4) Over $10 million6. Enter your annual number of residential dwelling units built by your company using the following codes: *1) 0 units2) 1 to 10 units3) 11 to 25 units4) 26 to 100 units5) 101 to 500 units6) over 500 units7. Including yourself, enter the total number of paid employees at your company. *8. Enter your business title using the following list: *A) President/CEO/Owner/Principal/PartnerB) VP/General ManagerC) Construction SuperintendentD) Sales and Marketing ManagerE) Architect/Designer/EngineerF) Financial ManagerG) Other Management PersonnelH) Non-managerial PersonnelI) OtherSignature Clear Signature Submit