EXCELLENCE SERVICE INTEGRITY

APPLICATION FOR MEMBERSHIP

Membership Category

Builder Members – Individuals or firms whose principal business is building/remodeling residential or commercial structures, or land development.
Associate Members – Individuals or firms whose principal business is sub­ contracting, supplying materials, service or support to the building industry.

Do You Want More Information?

Insurance: Group Health Workers Comp Liability
Fueling Program
Verizon Discounts
Credit Card Processing Program
Advertising & Sponsorship Opportunities


Annual dues include membership in the National Association of Home Builders, Oregon Home Builders Association and Home Builders Association of Lane County.
Dues payments 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. Please contact us for the current non-deductible amount.

Payment
Builder MembersAnnual DuesPAC*Total
> $3 million in gross revenue$750  +$50 = $800
$1 ­ $3 million in gross revenue$600  +$50 = $650
$1 million in gross revenue$395  +$50 = $445


Associate MembersAnnual DuesPAC*Total
15 or more employees$750  +$50 = $800
5 to 14 employees$600  +$50 = $650
< 5 employees$395  +$50 = $445

* Political Action is a major factor in our lobbying efforts allowing the housing industry’s voice to be heard in the political arena. Your contribution is voluntary and appreciated.


Firm Name :    Representative :
Firm Address :
City :    State :    Zip :
Phone :    Fax :

Mailing Address :
City :    State :    Zip :
Alt Phone : Email : Website :

Type of Business :
Include $50 PAC Contribution: Yes     No

CCB# (if applicable) :    Sponsor referring you to the HBA :

BY SIGNING THIS APPLICATION, I AGREE TO ABIDE BY THE BY­LAWS AND STATEMENT OF PRINCIPLES OF THIS ASSOCIATION. THIS APPLICATION FOR MEMBERSHIP IS SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF THE HOME BUILDERS ASSOCIATION OF LANE COUNTY.


Card Type :
Credit Card # : Expiration Date  
Name on Card : CVV2#(on the back signature panel) :
Card Billing Address :
Card Billing City : State : Zip :
Signed :    Date :
(By signing, I authorize and agree to pay for dues as indicated above under “Payment” for my type of business.)