BCHBA Membership Application Business Name Contact Person Position/Title Business Street Address City/State/Zip Business Mailing Address (if different from street address) Business Mailing Address City/State/Zip Business Phone Business Fax Business Cell Business Email If provided, your e-mail address will serve as the main method for bchba communications. We will not share this information with third parties or sell the information at any time. Please let us know how you would like our monthly newsletter to be sent to you: Get Sent A Email Of Newsletter: email_newsletter Get Sent A Hardcopy Of Newsletter: hardcopy_newsletter Would you like a link to your site in our online directory? NoYes Type of Business: Product/service provided: Business start date: # of Employees: Business Website: Business Bio (What led you to the home building industry? Why do you want to be part of the bchba? Tell us more about your business) Please accept my application for the following area: Member Type: BuilderAssoc For Builder Members only: Dwelling Contractor certification (dcc) Number: Dwelling Contractor qualifier credential (DCQ) Number: By signing this agreement, I agree to abide by the Code of Ethics and Bylaws of the BCHBA to which this application is directed, of the National Association of Home Builders (NAHB) of the United States and of the Wisconsin Builders Association (WBA) with which it is affiliated. Of the dues remitted, a portion shall be used as subscription for one year of membership in NAHB and WBA Sponsored/Referred by: Electronic Signature of Applicant: (Membership Is Subject to Board of Directors Approval) Todays Date: Dues to the BCHBA are not deductible as charitable contributions for federal tax purposes. However, a portion of your dues payments can be deductible as an “ordinary and necessary” business