Membership Application

Home Builders Association of Winston-Salem
Applicant's Name
Company Address
Include area code
Home Address
Include area code
Membership Classification *
*To become an affiliate member, your company must be either a Builder or Associate Member of Home Builders Association of Winston-Salem.
Membership Fees *
Choose one. *NOTE: Affiliate Members must be an employee of a Member Company. Affiliate Members pay $75 and will be included in both printed and online directories, as well as receive HBAWS updates via email.
Select one: $75 Affiliate Membership - or - $550 New Memberships / Renewals
BUILDER MEMBERS ONLY COMPLETE THIS SECTION
Company Tax ID Number is required to submit membership form
Business Structure
Is this business your primary source of income
Reference 1
Include area code
Reference 2
Include area code
Reference 3
Include area code
ALL MEMBERS COMPLETE THIS SECTION
Certificate of Information *
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 $550.00, 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 ($62.12 of your 2018 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.
The sponsor has been contacted and has agreed to be my sponsor. If no sponsor is selected, HBAWS will appoint one.
Membership Sponsor - Individual's Name
Select one. You will be contacted upon receipt of application to make payment. Questions? Call 336.768.5942 *