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MEMBERSHIP APPLICATION FOR BUILDERS ASSOCIATION OF NORTH CENTRAL FLORIDA

Business Information

Company Name: *

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Phone: *

Website: *

Email: *

Business Description (200 char max): *

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Contractor's License #:

Counties You Work In:

Reason for Joining:

What are your expectations?:

What other organizations/hobbies are you involved with?:

Tell us about your target audience/customer base.:

Who is your Sponsor?:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Associate (Non-Builder): $625.00
Builder/Developer Tier 1: $725.00
0-9 Homes or Lots per Year Under $2 Million Per Year Builder/Developer Tier 2: $845.00
10-24 Homes or Lots per Year $2-$5 Million Per Year Builder/Developer Tier 3: $1,145.00
25-49 Homes or Lots per Year $6-$10 Million Per Year Builder/Developer Tier 4: $1,645.00
50+ Homes or Lots per Year Over $10 Million Per Year

Payment Option:

Bill me

Print Application

Phone 352-372-5649 | Update my info

Serving the North Central Florida Community for over 60 years!

Member Application