Home Builders Association of Greater Southwest Illinois MEMBERSHIP APPLICATION And affiliated membership with the Home Builders Association of Illinois National Association of Home Builders Page 1 Company Name___________________________________________________________________________________________________ **AS YOU WANT IT TO APPEAR ON ALL PUBLICATIONS** Public Address (P.O. BOX Not Accepted)___________________________________________________________________________________ Mailing Address (if different)___________________________________________________________________________________________ City ____________________________________________ State__________________ Zip_______________________ Web Address_____________________________________________________________________________________________________ Description of Business_____________________________________________________________________________________________ Primary Contact Name_____________________________________________________ Title___________________________________ Phone___________________________________________________ Fax___________________________________________________ Mobile__________________________________________________ Email_________________________________________________ Sponsor Name (who told you about HBASWIL)_________________________________________________________________________ Business references: Company_________________________________________ Contact Name________________________ Phone____________________ Company_________________________________________ Contact Name________________________ Phone____________________ I agree to abide by the Constitution, By-Laws and Code of Ethics (and all amendments thereof) of the Home Builders Association of Greater Southwest Illinois (HBASWIL), the Home Builders Association of Illinois (HBAI) and the National Association of Home Builders (NAHB). In the event of termination of membership this association, I agree to immediately discontinue use of its insignia and all of the membership benefit programs. A remittance of $595.00 representing my annual dues in the affiliated associations accompanies this application. I give the HBA of Greater Southwest Illinois authorization to contact the listed business references. _____________________________________________ Applicant Signature HBA of Greater Southwest IL Builder & Associate Annual Membership Dues $595 ____ Payment enclosed ____ Pay by credit card: Visa/MasterCard#______________________________________ Exp Date____________ V-Code___________ credit card payments will include an additional 4% convenience fee ____ Payment plan for 3 monthly installments (membership will not take full effect with HBASWIL, HBAI & NAHB until paid in full). This process is done with ACH funds being directly withdrawn from your bank account or payments made directly to HBASWIL office. NOTE: Dues payments to Home Builders Association of Greater Southwest Illinois are not deductible as charitable contributions for federal income tax purposes. However, dues payments may be deductible as an ordinary and necessary business expense, subject to exclusion for lobbying activity. Because a portion of your dues is used for lobbying by NAHB and HBAI, a set amount is not deductible for income tax purposes. Please see your tax advisor. Send completed membership application & your annual membership investment to: HBA of Greater Southwest IL. 6100 W. Main St., Maryville, IL 62062 Ph: (618) 343-6331 Fax: (618) 343-6335 Website: www.hbaswil.org Application Process: Once the application is completely filled in and received with your payment representing annual dues, the application will be reviewed the Board of Directors of HBA of Greater Southwest IL.
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