Application for Membership | New Bern Home Builders Association

Section I
Name
First Last
Email
Date
Date Format: MM slash DD slash YYYY
Company
Title
Principal(s)
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone
Cell
Fax
Website
Brief description of business (keywords for directory search)
Builders Mutual Insurance Participant?
- Yes
- No
Section II - Membership Type
- Builder
- Associate
- Affiliate
Someone engaged in the building business with a current North Carolina General Contractors License.
Anyone that engages in business that is relevant to the building industry.
An additional person in an existing builder or associate members business that desires the benefits of Association membership.
Product Name
Price: $460.00
Name of Qualified Licensee
State License #
Product Name
Price: $460.00
Type of business
State License #
Product Name
Price: $100.00
Member Affiliation
Member ID#
Section III
Type of Business (Corp., Sole Proprietor, etc..)
Number of Employees
Federal Tax ID#
Section IV

References (other HBA of Craven & Pamlico Counties members)
Name
First Last
Address
Street Address City
Telephone
Years Acquainted
Date Format: MM slash DD slash YYYY
Section V
I agree to abide by the constitution and by-laws of the National Association of Home Builders, the North Carolina Home Builders Association and the Home Builders Association of Craven & Pamlico Counties.
Credit Card

Card Details

Cardholder Name
Questions regarding membership or this form may be directed the Home Builders Association of Craven & Pamlico Counties at 252-636-3707 or info@newbernbuilders.com
Total
$0.00

Section I

Section II - Membership Type

Section III

Section IV

References (other HBA of Craven & Pamlico Counties members)

Section V

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