News and Government

New Member Online Application Form - Contact Megan Parks, 336-464-8000 for more information.

Membership Application(pdf) Affiliate Membership Application(pdf)

Please complete the following application for membership in the Home Builders Association:

Date
Name
(designated contact)
Title
Company
Business Address
Business city, state, zip
County
Business Phone Fax
Home Address
Home city, state, zip
E-mail
Web site
Mobile #
Nextel ID #
Membership Classification
Builder: Custom Speculative Remodeling Commercial
Associate: Retail Dealer Wholesale Dealer Sub-contractor Other

Builder Applicants:
Builder members of the Home Builders Association of Winston-Salem must have a North Carolina General Contractors License.

Name of qualifying individual for license
State License Number
Number of units anticipated this year
Price Range
Anticipated annual dollar volume

Type of business # of employees
Business Structure Sole Proprietorship Partnership Corporation Limited Liability Corporation

Name of individual financially responsible for business
How long in business years months
Is this business your primary source of income Yes No
What other business or employment are you presently associated with?
Primary reason for joining the HBA of Winston-Salem?

Trade credit references

 CompanyContact PersonPhone #
1.
2.
3.

Bank reference

1.

I agree to abide by the Constitution, Bylaws and Code of Ethics of the Home Builders Association of Winston-Salem, Inc., the National Association of Home Builders and the North Carolina Home Builders Association. A remittance of $510.00, representing my annual dues in these associations, accompanies this application. I realize that dues payable to the Home Builders Association of Winston-Salem, Inc. are not deductible as charitable contributions for federal tax purposes. However, dues payments may be deductible as ordinary and necessary business expenses, subject to an exclusion of lobbying expenses (6.2% or $31.62 of your HBA dues are not deductible for annual income tax purposes). In addition to the above, the signing of this application acknowledges that the applicant grants to the Home Builders Association of Winston-Salem, Inc., permission to investigate the credit of the applicant. The applicant also acknowledges that approval of membership by the Board of Directors is contingent on the information provided on this application. Should any information detailed on this application change during the period of membership, the applicant must advise the association of the changes in writing. The applicant certifies the information on this application is correct as of the date of filing.

Sponsored by
(The sponsor has been contacted and has agreed to be my sponsor)
Company Name
Method of PaymentBill Me Credit Card
Credit CardMasterCard Visa
Card Number
Card Expires
Name on Card

Home Builders Association of Winston-Salem     220 Charlois Boulevard     Winston-Salem, NC 27103-1593     Phone 336.768.5942     Fax 336.774.6778